Provider Demographics
NPI:1578169157
Name:BRANDI JUAREZ FAMILY THERAPY, INC.
Entity Type:Organization
Organization Name:BRANDI JUAREZ FAMILY THERAPY, INC.
Other - Org Name:NEXT MOVE HOMELESS SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:SN. DIRECTOR MENTAL HEALTH PROGRAMS
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:JUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:916-206-7784
Mailing Address - Street 1:8037 FAIR OAKS BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-6742
Mailing Address - Country:US
Mailing Address - Phone:916-206-7784
Mailing Address - Fax:
Practice Address - Street 1:8001 FOLSOM BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95826-2621
Practice Address - Country:US
Practice Address - Phone:916-395-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SACRAMENTO AREA EMERGENCY HOUSING CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-08
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty