Healthcare Provider Details

I. General information

NPI: 1962903161
Provider Name (Legal Business Name): DISCOVER HOPE MARRIAGE & FAMILY THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2018
Last Update Date: 05/03/2024
Certification Date: 05/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 OREGON ST STE 216
REDDING CA
96001-1757
US

IV. Provider business mailing address

PO BOX 492094
REDDING CA
96049-2094
US

V. Phone/Fax

Practice location:
  • Phone: 530-953-9363
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: NATHANAEL READ
Title or Position: OWNER/PRESIDENT
Credential: LMFT
Phone: 530-953-9363