Healthcare Provider Details

I. General information

NPI: 1235911231
Provider Name (Legal Business Name): YOUR THERAPY NOW PSYCHOLOGY SERVICES A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2023
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6173 VALLEY VIEW RD
OAKLAND CA
94611-2027
US

IV. Provider business mailing address

155 LOREN LN
OAKLEY CA
94561-2464
US

V. Phone/Fax

Practice location:
  • Phone: 510-575-0410
  • Fax:
Mailing address:
  • Phone: 209-484-4090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. TECSIA EVANS
Title or Position: PRESIDENT
Credential: PHD
Phone: 209-484-4090