Healthcare Provider Details

I. General information

NPI: 1356250237
Provider Name (Legal Business Name): LOVE BEANS MARRIAGE AND FAMILY THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 F ST STE 202
DAVIS CA
95616-4144
US

IV. Provider business mailing address

423 F ST STE 202
DAVIS CA
95616-4144
US

V. Phone/Fax

Practice location:
  • Phone: 530-341-2313
  • Fax:
Mailing address:
  • Phone: 530-341-2313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE ABELLORENTZEN
Title or Position: OWNER
Credential: LMFT
Phone: 530-341-2313