Provider Demographics
NPI:1609572346
Name:PLATH, TANYA MARIE (AMFT)
Entity Type:Individual
Prefix:MRS
First Name:TANYA
Middle Name:MARIE
Last Name:PLATH
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:MS
Other - First Name:TANYA
Other - Middle Name:MARIE
Other - Last Name:MEISNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AMFT
Mailing Address - Street 1:333 SUNSET AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SUISUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94585-2003
Mailing Address - Country:US
Mailing Address - Phone:707-225-7899
Mailing Address - Fax:707-759-3810
Practice Address - Street 1:333 SUNSET AVE STE 200
Practice Address - Street 2:
Practice Address - City:SUISUN CITY
Practice Address - State:CA
Practice Address - Zip Code:94585-2003
Practice Address - Country:US
Practice Address - Phone:707-225-7899
Practice Address - Fax:707-759-3810
Is Sole Proprietor?:No
Enumeration Date:2023-02-03
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT137578106H00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health