Provider Demographics
NPI:1356641666
Name:THE COUPLE CENTER, A FAMILY COUNS. CORP
Entity type:Organization
Organization Name:THE COUPLE CENTER, A FAMILY COUNS. CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SWENSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:510-277-3111
Mailing Address - Street 1:197 PORTOLA DR
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-1585
Mailing Address - Country:US
Mailing Address - Phone:510-277-3111
Mailing Address - Fax:415-642-7726
Practice Address - Street 1:6239 COLLEGE AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1329
Practice Address - Country:US
Practice Address - Phone:510-277-3111
Practice Address - Fax:415-642-7726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-02
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC23224106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty