Healthcare Provider Details

I. General information

NPI: 1932924297
Provider Name (Legal Business Name): XUONG HIN LAY AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2024
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

945 THOMPSON ST
MILPITAS CA
95035-5243
US

IV. Provider business mailing address

945 THOMPSON ST MENTAL HEALTH CRISIS OFFICE
MILPITAS CA
95035
US

V. Phone/Fax

Practice location:
  • Phone: 408-934-5137
  • Fax:
Mailing address:
  • Phone: 408-934-5137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number149739
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: