Healthcare Provider Details

I. General information

NPI: 1710298500
Provider Name (Legal Business Name): THERAPEUTIC LEARNING CONSULTANTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2010
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 ANZA BLVD STE 106
BURLINGAME CA
94010-1918
US

IV. Provider business mailing address

111 ANZA BLVD STE 106
BURLINGAME CA
94010-1918
US

V. Phone/Fax

Practice location:
  • Phone: 650-938-3600
  • Fax: 650-332-3927
Mailing address:
  • Phone: 650-938-3600
  • Fax: 650-332-3927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT78638
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number1-09-6506
License Number StateCA

VIII. Authorized Official

Name: WAJMA ALIMI
Title or Position: EXECUTIVE DIRECTOR
Credential: BCBA
Phone: 650-938-3600