Healthcare Provider Details

I. General information

NPI: 1396670246
Provider Name (Legal Business Name): FIND SOLACE FAMILY THERAPY GROUP, PROF. CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 07/26/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 ADDISON ST STE 201
BERKELEY CA
94704-1143
US

IV. Provider business mailing address

195 41ST ST UNIT 11498
OAKLAND CA
94611-7019
US

V. Phone/Fax

Practice location:
  • Phone: 415-891-1567
  • Fax:
Mailing address:
  • Phone: 415-891-1567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: GISELLE BOURELLY
Title or Position: PROGRAM MANAGER
Credential:
Phone: 415-891-1567