Provider Demographics
NPI:1447734769
Name:MOBILE PSYCHOTHERAPY, A MARRIAGE AND FAMILY CORPORATION
Entity Type:Organization
Organization Name:MOBILE PSYCHOTHERAPY, A MARRIAGE AND FAMILY CORPORATION
Other - Org Name:CLARITY COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER & CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:CASAGRANDE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:530-213-3390
Mailing Address - Street 1:1520 E COVELL BLVD STE B5-313
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-1366
Mailing Address - Country:US
Mailing Address - Phone:530-302-5542
Mailing Address - Fax:
Practice Address - Street 1:508 2ND ST STE 109A
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-4664
Practice Address - Country:US
Practice Address - Phone:530-761-5050
Practice Address - Fax:530-341-5104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-21
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty