Provider Demographics
NPI:1710298500
Name:THERAPEUTIC LEARNING CONSULTANTS, INC.
Entity Type:Organization
Organization Name:THERAPEUTIC LEARNING CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FOUCHE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:650-938-3600
Mailing Address - Street 1:711 COLORADO AVE
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-3912
Mailing Address - Country:US
Mailing Address - Phone:650-938-3600
Mailing Address - Fax:650-938-3601
Practice Address - Street 1:711 COLORADO AVE
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-3912
Practice Address - Country:US
Practice Address - Phone:650-938-3600
Practice Address - Fax:650-938-3601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-25
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT78638106H00000X
CA1-09-6506251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty