Healthcare Provider Details

I. General information

NPI: 1669934261
Provider Name (Legal Business Name): THE EQUINE HEALING COLLABORATIVE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2019
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8767 CARMEL VALLEY RD
CARMEL CA
93923-7958
US

IV. Provider business mailing address

PO BOX 1087
MONTEREY CA
93942-1087
US

V. Phone/Fax

Practice location:
  • Phone: 831-582-1017
  • Fax:
Mailing address:
  • Phone: 831-582-1017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER FENTON
Title or Position: EXECUTIVE DIRECTOR
Credential: LMFT
Phone: 831-582-1017