Healthcare Provider Details

I. General information

NPI: 1033055892
Provider Name (Legal Business Name): WOODLEAF EATING DISORDER CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 FRANKLIN ST STE 205
SAN FRANCISCO CA
94102-6021
US

IV. Provider business mailing address

45 FRANKLIN ST STE 205
SAN FRANCISCO CA
94102-6021
US

V. Phone/Fax

Practice location:
  • Phone: 415-840-0670
  • Fax:
Mailing address:
  • Phone: 415-840-0670
  • 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: APRIL VANCELETTE
Title or Position: OWNER
Credential: LMFT
Phone: 415-368-6720