Healthcare Provider Details

I. General information

NPI: 1659295632
Provider Name (Legal Business Name): CONNECTED HEALING MARRIAGE AND FAMILY COUNSELING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 LEAD HILL BLVD STE 145
ROSEVILLE CA
95661-2998
US

IV. Provider business mailing address

1380 LEAD HILL BLVD STE 145
ROSEVILLE CA
95661-2998
US

V. Phone/Fax

Practice location:
  • Phone: 916-217-3406
  • Fax:
Mailing address:
  • Phone: 916-217-3406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MEGAN MCCOLLEY
Title or Position: LMFT
Credential:
Phone: 916-217-3406