Healthcare Provider Details

I. General information

NPI: 1326987322
Provider Name (Legal Business Name): LIFE BEYOND TRAUMA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2718 TELEGRAPH AVE STE 102
BERKELEY CA
94705-1142
US

IV. Provider business mailing address

2718 TELEGRAPH AVE STE 102
BERKELEY CA
94705-1142
US

V. Phone/Fax

Practice location:
  • Phone: 415-948-3450
  • Fax:
Mailing address:
  • Phone: 415-948-3450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. SARAH ANN JIMENEZ
Title or Position: OWNER/CLINICIAN
Credential: LCSW, PHD
Phone: 415-948-3450