Provider Demographics
NPI:1295546802
Name:TRUE STANCE FAMILY COUNSELING INC.
Entity type:Organization
Organization Name:TRUE STANCE FAMILY COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:MARC
Authorized Official - Last Name:WALLACH
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LPCC
Authorized Official - Phone:707-583-2305
Mailing Address - Street 1:222 WELLER ST STE 205
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-7107
Mailing Address - Country:US
Mailing Address - Phone:707-583-2305
Mailing Address - Fax:707-789-9597
Practice Address - Street 1:222 WELLER ST STE 205
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952-7107
Practice Address - Country:US
Practice Address - Phone:707-583-2305
Practice Address - Fax:707-789-9597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty