Healthcare Provider Details

I. General information

NPI: 1962997528
Provider Name (Legal Business Name): MARTI ELIZABETH TOURVILLE LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2018
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 PARMAC RD STE 1
CHICO CA
95926-2294
US

IV. Provider business mailing address

877 LYNN LN
CHICO CA
95926-2935
US

V. Phone/Fax

Practice location:
  • Phone: 530-891-2775
  • Fax:
Mailing address:
  • Phone: 530-570-2453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number147472
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: