Healthcare Provider Details

I. General information

NPI: 1396547840
Provider Name (Legal Business Name): CONNECT THE DOTS MARRIAGE AND FAMILY COUNSELING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 03/26/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27965 SMYTH DR # 106
VALENCIA CA
91355-6016
US

IV. Provider business mailing address

PO BOX 800325
SANTA CLARITA CA
91380-0325
US

V. Phone/Fax

Practice location:
  • Phone: 661-200-3007
  • Fax:
Mailing address:
  • Phone: 209-607-1018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. KHEA S GUMBS
Title or Position: OWNER/CEO
Credential: LMFT
Phone: 661-200-3007