Healthcare Provider Details

I. General information

NPI: 1396415980
Provider Name (Legal Business Name): THERAPY INMOTION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2021
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16185 LOS GATOS BLVD STE 25
LOS GATOS CA
95032-4568
US

IV. Provider business mailing address

PO BOX 2013
LOS GATOS CA
95031-2013
US

V. Phone/Fax

Practice location:
  • Phone: 424-866-8466
  • Fax: 408-872-4001
Mailing address:
  • Phone: 424-866-8466
  • Fax: 408-872-4001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS LUCKING
Title or Position: DIRECTOR
Credential: PHD, LMFT
Phone: 424-866-8466