Provider Demographics
NPI:1689328247
Name:EQUANIMITY MARRIAGE & COUNSELING CORP
Entity Type:Organization
Organization Name:EQUANIMITY MARRIAGE & COUNSELING CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:
Authorized Official - First Name:ARIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-293-6344
Mailing Address - Street 1:7921 KINGSWOOD DR STE A2-E
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95610-7710
Mailing Address - Country:US
Mailing Address - Phone:916-293-6344
Mailing Address - Fax:
Practice Address - Street 1:7921 KINGSWOOD DR STE A2-E
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-7710
Practice Address - Country:US
Practice Address - Phone:916-293-6344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty