Healthcare Provider Details

I. General information

NPI: 1184559155
Provider Name (Legal Business Name): EMBODIED DEPTH RELATIONAL MARRIAGE AND FAMILY THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

582 MARKET ST STE 2009
SAN FRANCISCO CA
94104-5321
US

IV. Provider business mailing address

582 MARKET ST STE 2009
SAN FRANCISCO CA
94104-5321
US

V. Phone/Fax

Practice location:
  • Phone: 917-693-9657
  • Fax:
Mailing address:
  • Phone: 415-878-6366
  • 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: ANNA HOWLAND
Title or Position: PSYCHOTHERAPIST/OWNER
Credential: LMFT
Phone: 415-878-6366