Healthcare Provider Details

I. General information

NPI: 1720905516
Provider Name (Legal Business Name): CAPABLE WITHOUT CONDITIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 BECK LN
VACAVILLE CA
95688-9322
US

IV. Provider business mailing address

4500 BECK LN
VACAVILLE CA
95688-9322
US

V. Phone/Fax

Practice location:
  • Phone: 707-685-7067
  • Fax:
Mailing address:
  • Phone: 707-685-7067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA MANCE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 707-685-7067