MEDICARE: SARATOGA INDIVIDUAL AND FAMILY PSYCHOTHERAPY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1992575229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARATOGA INDIVIDUAL AND FAMILY PSYCHOTHERAPY INC

Provider Business Mailing Address
First Line	:	14583 BIG BASIN WAY STE 2B
Second Line	:
City	:	SARATOGA
State	:	CA
Zip	:	95070-6072
Country	:	US
Telephone Number	:	831-917-5510
Fax Number	:

Provider Business Practice Location Address
First Line	:	14583 BIG BASIN WAY STE 2B
Second Line	:
City	:	SARATOGA
State	:	CA
Zip	:	95070-6072
Country	:	US
Telephone Number	:	831-917-5510
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LENA AXELSSON
Credential	:	LMFT
Telephone Number	:	831-420-7212

Provider Enumeration Date	:	01/08/2024
Last Update Date	:	03/11/2026

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