Provider Demographics
NPI:1720548894
Name:TALKAWHILE CHILD AND FAMILY THERAPY CENTER PC
Entity Type:Organization
Organization Name:TALKAWHILE CHILD AND FAMILY THERAPY CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MARITZA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMAYO-SARVER
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:408-962-9267
Mailing Address - Street 1:19115 GREEN FOREST RD
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95033-7807
Mailing Address - Country:US
Mailing Address - Phone:408-384-9161
Mailing Address - Fax:
Practice Address - Street 1:2577 SAMARITAIN DRIVE
Practice Address - Street 2:SUITE 715
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124
Practice Address - Country:US
Practice Address - Phone:408-962-9267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-23
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty