Healthcare Provider Details

I. General information

NPI: 1285505131
Provider Name (Legal Business Name): BRIANA MORGAN SMITH AMFT, CWC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 SISK RD
MODESTO CA
95356-8870
US

IV. Provider business mailing address

5901 SISK RD
MODESTO CA
95356-8870
US

V. Phone/Fax

Practice location:
  • Phone: 209-545-7500
  • Fax:
Mailing address:
  • Phone: 209-545-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number6005976686
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT160489
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: