Healthcare Provider Details

I. General information

NPI: 1649107582
Provider Name (Legal Business Name): TRANSFORMATIVE MARRIAGE THERAPY CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8035 MADISON AVE STE A4
CITRUS HEIGHTS CA
95610-7949
US

IV. Provider business mailing address

8035 MADISON AVE STE A4
CITRUS HEIGHTS CA
95610-7949
US

V. Phone/Fax

Practice location:
  • Phone: 916-257-2274
  • Fax:
Mailing address:
  • Phone: 916-257-2274
  • 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: JANENE LYN KINGSLEY
Title or Position: PRESIDENT
Credential: LMFT
Phone: 916-257-2274