Healthcare Provider Details

I. General information

NPI: 1003763566
Provider Name (Legal Business Name): DAVID PHILLIPS MARRIAGE FAMILY THERAPIST A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2023 N ST
SACRAMENTO CA
95811-4200
US

IV. Provider business mailing address

2023 N ST.
SACRAMENTO CA
95811-4200
US

V. Phone/Fax

Practice location:
  • Phone: 916-833-2283
  • Fax: 916-602-3525
Mailing address:
  • Phone: 916-833-2283
  • Fax: 916-602-3525

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: DAVID BROOKS PHILLIPS
Title or Position: DIRECTOR
Credential: LMFT
Phone: 916-833-2283