Provider Demographics
NPI:1922736081
Name:HEART CONNECTION - MARRIAGE AND FAMILY THERAPY CORPORATION
Entity Type:Organization
Organization Name:HEART CONNECTION - MARRIAGE AND FAMILY THERAPY CORPORATION
Other - Org Name:HEART CONNECTION THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SACKS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:530-414-0484
Mailing Address - Street 1:10104 DONNER PASS RD
Mailing Address - Street 2:
Mailing Address - City:TRUCKEE
Mailing Address - State:CA
Mailing Address - Zip Code:96161-0412
Mailing Address - Country:US
Mailing Address - Phone:530-414-0484
Mailing Address - Fax:
Practice Address - Street 1:10104 DONNER PASS RD
Practice Address - Street 2:
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96161-0412
Practice Address - Country:US
Practice Address - Phone:530-414-0484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEART CONNECTION THERAPY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-08
Last Update Date:2024-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty