Provider Demographics
NPI:1497306419
Name:COUPLES THERAPY INSTITUTE INC
Entity Type:Organization
Organization Name:COUPLES THERAPY INSTITUTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:ALEXANDRA
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT46392
Authorized Official - Phone:805-540-8555
Mailing Address - Street 1:2020 ALAMEDA PADRE SERRA STE 211
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-1761
Mailing Address - Country:US
Mailing Address - Phone:805-540-8555
Mailing Address - Fax:805-324-4913
Practice Address - Street 1:2020 ALAMEDA PADRE SERRA STE 211
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-1761
Practice Address - Country:US
Practice Address - Phone:805-540-8555
Practice Address - Fax:805-324-4913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health