Provider Demographics
NPI:1407445471
Name:ALBANI GROUP FAMILY AND CHILD THERAPY INC. DBA THE ALBANI GROUP
Entity Type:Organization
Organization Name:ALBANI GROUP FAMILY AND CHILD THERAPY INC. DBA THE ALBANI GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBANI
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:415-515-2409
Mailing Address - Street 1:131 CAMINO ALTO AVE
Mailing Address - Street 2:E-3
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941
Mailing Address - Country:US
Mailing Address - Phone:415-322-1599
Mailing Address - Fax:
Practice Address - Street 1:131 CAMINO ALTO AVE
Practice Address - Street 2:E-3
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941
Practice Address - Country:US
Practice Address - Phone:415-322-1599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-14
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty