Provider Demographics
NPI:1023704657
Name:TULA THERAPY BY EMMA TODD LICENSED CLINICAL SOCIAL WORKER PC
Entity type:Organization
Organization Name:TULA THERAPY BY EMMA TODD LICENSED CLINICAL SOCIAL WORKER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:KENNEDY
Authorized Official - Last Name:TODD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:530-366-0755
Mailing Address - Street 1:389 CONNORS CT STE C
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1177
Mailing Address - Country:US
Mailing Address - Phone:530-366-0755
Mailing Address - Fax:
Practice Address - Street 1:389 CONNORS CT STE C
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1177
Practice Address - Country:US
Practice Address - Phone:530-366-0755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty