Healthcare Provider Details

I. General information

NPI: 1265556781
Provider Name (Legal Business Name): BRAMLETT ALLEN CONLEY MFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 3273
CATHEDRAL CITY CA
92235-3273
US

IV. Provider business mailing address

PO BOX 3273
CATHEDRAL CITY CA
92235-3273
US

V. Phone/Fax

Practice location:
  • Phone: 310-621-5940
  • Fax:
Mailing address:
  • Phone: 310-621-5940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC 36,913
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: