Healthcare Provider Details

I. General information

NPI: 1407710213
Provider Name (Legal Business Name): THE KIND SELF MARRIAGE & FAMILY THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 COLEMAN AVE STE F21
SANTA CLARA CA
95050-4359
US

IV. Provider business mailing address

1400 COLEMAN AVE STE F21
SANTA CLARA CA
95050-4359
US

V. Phone/Fax

Practice location:
  • Phone: 408-755-5997
  • Fax:
Mailing address:
  • Phone: 408-755-5997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. VAN-ANH N VU
Title or Position: LMFT AND OWNER
Credential: LMFT
Phone: 408-755-5997