Provider Demographics
NPI:1508522731
Name:THOUGHTFUL FAMILY THERAPY CENTERS A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:THOUGHTFUL FAMILY THERAPY CENTERS A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HERKELRATH
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:415-635-5494
Mailing Address - Street 1:1038 REDWOOD HWY FRONTAGE RD STE 1
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-1620
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1038 REDWOOD HWY FRONTAGE RD STE 1
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-1620
Practice Address - Country:US
Practice Address - Phone:415-635-5494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-11
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty