Healthcare Provider Details

I. General information

NPI: 1316861123
Provider Name (Legal Business Name): NURA FAMILY THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

931 10TH ST STE 854
MODESTO CA
95354-2305
US

IV. Provider business mailing address

931 10TH ST STE 854
MODESTO CA
95354-2305
US

V. Phone/Fax

Practice location:
  • Phone: 855-585-6872
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE ISAAC
Title or Position: CEO
Credential: LMFT
Phone: 855-585-6872