Provider Demographics
NPI:1801765961
Name:WTF MARRIAGE AND FAMILY THERAPY, PROFESSIONAL CORP.
Entity type:Organization
Organization Name:WTF MARRIAGE AND FAMILY THERAPY, PROFESSIONAL CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELENY
Authorized Official - Middle Name:
Authorized Official - Last Name:HONTS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:760-524-8593
Mailing Address - Street 1:PO BOX 115
Mailing Address - Street 2:
Mailing Address - City:MARINA
Mailing Address - State:CA
Mailing Address - Zip Code:93933-0115
Mailing Address - Country:US
Mailing Address - Phone:669-257-2455
Mailing Address - Fax:
Practice Address - Street 1:1144 FREMONT BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:SEASIDE
Practice Address - State:CA
Practice Address - Zip Code:93955
Practice Address - Country:US
Practice Address - Phone:669-257-2455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-05
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty