Provider Demographics
NPI:1417723065
Name:BUTTERFLY RESILIENCE HOLISTIC FAMILY THERAPY, INC
Entity Type:Organization
Organization Name:BUTTERFLY RESILIENCE HOLISTIC FAMILY THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CANARY
Authorized Official - Middle Name:
Authorized Official - Last Name:STERLING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:800-711-1584
Mailing Address - Street 1:PO BOX 506
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-0506
Mailing Address - Country:US
Mailing Address - Phone:209-830-8220
Mailing Address - Fax:
Practice Address - Street 1:506 S SPRING ST UNIT 13308
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90013-3215
Practice Address - Country:US
Practice Address - Phone:800-711-1584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-27
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty