Healthcare Provider Details

I. General information

NPI: 1114466331
Provider Name (Legal Business Name): MARITZA MEZA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2017
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 WILLOW PASS RD
CONCORD CA
94520-7928
US

IV. Provider business mailing address

835 CASTRO ST
MARTINEZ CA
94553-1611
US

V. Phone/Fax

Practice location:
  • Phone: 925-288-3917
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number156407
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: