Healthcare Provider Details

I. General information

NPI: 1750737615
Provider Name (Legal Business Name): L AND B PSYCHOTHERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2016
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2109 KIRKHAM ST
SAN FRANCISCO CA
94122-3219
US

IV. Provider business mailing address

2109 KIRKHAM ST
SAN FRANCISCO CA
94122-3219
US

V. Phone/Fax

Practice location:
  • Phone: 415-820-3930
  • Fax:
Mailing address:
  • Phone: 415-820-3930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRONWEN ANTONIA LEMMON
Title or Position: VICE PRESIDENT
Credential: MS, LMFT
Phone: 415-820-3930