Provider Demographics
NPI:1992377121
Name:GOVINDA BADER MARRIAGE AND FAMILY THERAPY & COACHING INC
Entity Type:Organization
Organization Name:GOVINDA BADER MARRIAGE AND FAMILY THERAPY & COACHING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:GOVINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BADER
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:415-225-9666
Mailing Address - Street 1:1534 KOWALSKI AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-4720
Mailing Address - Country:US
Mailing Address - Phone:415-225-9666
Mailing Address - Fax:
Practice Address - Street 1:1534 KOWALSKI AVE
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-4720
Practice Address - Country:US
Practice Address - Phone:415-225-9666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health