Provider Demographics
NPI:1225707540
Name:FRIENDLY TALK THERAPY LLC
Entity Type:Organization
Organization Name:FRIENDLY TALK THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PETER-NAM
Authorized Official - Middle Name:HOANG
Authorized Official - Last Name:DINH
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:916-844-2517
Mailing Address - Street 1:5412 V ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-1658
Mailing Address - Country:US
Mailing Address - Phone:916-346-9451
Mailing Address - Fax:
Practice Address - Street 1:225 30TH ST STE 311
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-3359
Practice Address - Country:US
Practice Address - Phone:916-844-2517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health