Healthcare Provider Details

I. General information

NPI: 1861337149
Provider Name (Legal Business Name): LOMA THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 RUCKMAN AVE
SAN FRANCISCO CA
94129
US

IV. Provider business mailing address

5900 BALCONES DR STE 100
AUSTIN TX
78731-4298
US

V. Phone/Fax

Practice location:
  • Phone: 832-803-2555
  • Fax:
Mailing address:
  • Phone: 832-803-2555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: MONTANA MAE HOLMES
Title or Position: CEO
Credential: LP, LMFT
Phone: 956-373-6510