Healthcare Provider Details

I. General information

NPI: 1083409049
Provider Name (Legal Business Name): SERENITY BEAN FAMILY AND MARRIAGE THERAPY, PROFESSIONAL ORGANIZATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2129 HACIENDA WAY STE E
SACRAMENTO CA
95825-0362
US

IV. Provider business mailing address

2129 HACIENDA WAY STE E
SACRAMENTO CA
95825-0362
US

V. Phone/Fax

Practice location:
  • Phone: 916-769-9266
  • Fax:
Mailing address:
  • Phone: 916-769-9266
  • Fax: 877-667-3518

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: TRISHA ANN MENDEZ
Title or Position: PRESIDENT
Credential: LMFT
Phone: 916-769-9266