Provider Demographics
NPI:1700578614
Name:EVER AFTER INDIVIDUAL AND FAMILY THERAPY
Entity Type:Organization
Organization Name:EVER AFTER INDIVIDUAL AND FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:925-202-7274
Mailing Address - Street 1:208 COMPTON CIR APT B
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1766
Mailing Address - Country:US
Mailing Address - Phone:925-202-7274
Mailing Address - Fax:
Practice Address - Street 1:208 COMPTON CIR APT B
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1766
Practice Address - Country:US
Practice Address - Phone:925-202-7274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty