Healthcare Provider Details

I. General information

NPI: 1427971423
Provider Name (Legal Business Name): MIND2 MEND MARRIAGE AND FAMILY THERAPIST OFFICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 OLD TELEGRAPH CANYON RD STE 201
CHULA VISTA CA
91910-6552
US

IV. Provider business mailing address

680 OLD TELEGRAPH CANYON RD STE 201
CHULA VISTA CA
91910-6552
US

V. Phone/Fax

Practice location:
  • Phone: 619-395-9145
  • Fax: 619-415-8017
Mailing address:
  • Phone: 619-395-9145
  • Fax: 619-415-8017

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: NATASHA BAILEY
Title or Position: CEO
Credential:
Phone: 619-391-9145