Healthcare Provider Details

I. General information

NPI: 1144775586
Provider Name (Legal Business Name): COUPLES RESOURCE COLLECTIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2016
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 FULTON AVE #160
SACRAMENTO CA
95825-4500
US

IV. Provider business mailing address

900 FULTON AVE STE 160
SACRAMENTO CA
95825-4517
US

V. Phone/Fax

Practice location:
  • Phone: 916-426-6567
  • Fax:
Mailing address:
  • Phone: 916-426-6567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License NumberMFT 48768
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM EDMUND SCHULT
Title or Position: EXECUTIVE DIRECTOR
Credential: LMFT
Phone: 916-759-6281