Provider Demographics
NPI:1316219728
Name:BINGHAM MARRIAGE & FAMILY THERAPY, INC.
Entity Type:Organization
Organization Name:BINGHAM MARRIAGE & FAMILY THERAPY, INC.
Other - Org Name:ALTERNATIVE HEALTH CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:BINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:559-261-4008
Mailing Address - Street 1:1553 W SHAW AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-3503
Mailing Address - Country:US
Mailing Address - Phone:559-261-4008
Mailing Address - Fax:559-261-4009
Practice Address - Street 1:1553 W SHAW AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3503
Practice Address - Country:US
Practice Address - Phone:559-261-4008
Practice Address - Fax:559-261-4009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-31
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC38630251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)