Healthcare Provider Details

I. General information

NPI: 1548131691
Provider Name (Legal Business Name): DESARROLLO FAMILIAR, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2025
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 MACDONALD AVE
RICHMOND CA
94805-4501
US

IV. Provider business mailing address

205 39TH ST
RICHMOND CA
94805-2212
US

V. Phone/Fax

Practice location:
  • Phone: 510-412-5930
  • Fax: 510-412-0567
Mailing address:
  • Phone: 510-412-5930
  • Fax: 510-412-0567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: CRIS STAHL
Title or Position: CLINICAL DIRECTOR
Credential: LMFT
Phone: 415-240-0124