Healthcare Provider Details

I. General information

NPI: 1073303855
Provider Name (Legal Business Name): GUIDED GROWTH THERAPY GROUP A PSYCHOLOGY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1603 CALIFORNIA AVE STE 137
BAKERSFIELD CA
93304-1346
US

IV. Provider business mailing address

10900 ARTIST CT
BAKERSFIELD CA
93312-2879
US

V. Phone/Fax

Practice location:
  • Phone: 661-404-4123
  • Fax: 661-404-4123
Mailing address:
  • Phone: 661-404-4123
  • Fax: 661-404-4123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. KIMBERLY ANN COBBS
Title or Position: OFFICE MANAGER
Credential:
Phone: 661-404-4123