Healthcare Provider Details

I. General information

NPI: 1790601565
Provider Name (Legal Business Name): REAL TALK THERAPY & CONSULTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 HURLEY WAY STE 110
SACRAMENTO CA
95825-3213
US

IV. Provider business mailing address

PO BOX 5401
SACRAMENTO CA
95817-0401
US

V. Phone/Fax

Practice location:
  • Phone: 916-542-1970
  • Fax:
Mailing address:
  • Phone: 916-542-1970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: TRAVIS W. NELSON
Title or Position: FOUNDER & CLINICAL DIRECTOR
Credential: LMFT
Phone: 916-542-1970