Provider Demographics
NPI:1417483264
Name:BAY AREA FAMILY THERAPY SERVICES INC.
Entity Type:Organization
Organization Name:BAY AREA FAMILY THERAPY SERVICES INC.
Other - Org Name:BAY AREA ADULT ADHD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPASH
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:415-460-7294
Mailing Address - Street 1:1 HALLIDIE PLZ
Mailing Address - Street 2:SUITE 700
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-2818
Mailing Address - Country:US
Mailing Address - Phone:415-460-7294
Mailing Address - Fax:415-460-7294
Practice Address - Street 1:1 HALLIDIE PLZ
Practice Address - Street 2:SUITE 700
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-2818
Practice Address - Country:US
Practice Address - Phone:415-460-7294
Practice Address - Fax:415-460-7294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46140106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty