Healthcare Provider Details

I. General information

NPI: 1063316495
Provider Name (Legal Business Name): PASSION TO HEAL FAMILY COUNSELING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 N TEXAS ST STE 350E
FAIRFIELD CA
94533-1290
US

IV. Provider business mailing address

1007 VINCI AVE
SACRAMENTO CA
95838-1636
US

V. Phone/Fax

Practice location:
  • Phone: 916-715-5930
  • Fax: 888-979-9733
Mailing address:
  • Phone: 916-715-5930
  • Fax: 888-979-9733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARCO A SANCHEZ SR.
Title or Position: MARRIAGE AND FAMILY THERAPIST
Credential: LMFT
Phone: 916-715-5930