Healthcare Provider Details

I. General information

NPI: 1932051059
Provider Name (Legal Business Name): YU CHI LIAO LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4753 AUDREY DR
CASTRO VALLEY CA
94546-2334
US

IV. Provider business mailing address

20283 SANTA MARIA AVE UNIT 2172
CASTRO VALLEY CA
94546-5008
US

V. Phone/Fax

Practice location:
  • Phone: 510-935-1057
  • Fax:
Mailing address:
  • Phone: 510-935-1057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number159675
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: