Provider Demographics
NPI:1235911231
Name:YOUR THERAPY NOW PSYCHOLOGY SERVICES A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:YOUR THERAPY NOW PSYCHOLOGY SERVICES A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TECSIA
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:209-484-4090
Mailing Address - Street 1:155 LOREN LN
Mailing Address - Street 2:
Mailing Address - City:OAKLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94561-2464
Mailing Address - Country:US
Mailing Address - Phone:209-484-4090
Mailing Address - Fax:
Practice Address - Street 1:6173 VALLEY VIEW RD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-2027
Practice Address - Country:US
Practice Address - Phone:510-575-0410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health