Healthcare Provider Details

I. General information

NPI: 1952618613
Provider Name (Legal Business Name): MARY COLLEEN HOYE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2010
Last Update Date: 01/23/2023
Certification Date: 01/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 S HOPE AVE STE C205
SANTA BARBARA CA
93105-4184
US

IV. Provider business mailing address

3835 N FREEWAY BLVD
SACRAMENTO CA
95834-1928
US

V. Phone/Fax

Practice location:
  • Phone: 855-427-2778
  • Fax: 805-618-1996
Mailing address:
  • Phone: 855-427-2778
  • Fax: 805-618-1996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number(04) 225400000X
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number79294
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: