Healthcare Provider Details

I. General information

NPI: 1063330306
Provider Name (Legal Business Name): MICHAEL KLOTZ MARRIAGE AND FAMILY THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 SAINT ROCH AVE
NEW ORLEANS LA
70117-7819
US

IV. Provider business mailing address

2443 FILLMORE ST # 380-7174
SAN FRANCISCO CA
94115-1814
US

V. Phone/Fax

Practice location:
  • Phone: 415-623-0804
  • Fax:
Mailing address:
  • Phone: 415-623-0804
  • 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: MICHAEL KLOTZ
Title or Position: OWNER
Credential: JD, LMFT
Phone: 415-623-0804