Healthcare Provider Details

I. General information

NPI: 1073477618
Provider Name (Legal Business Name): SUNPATH THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 HILL ST
RENO NV
89501-1821
US

IV. Provider business mailing address

PO BOX 325
VALLEJO CA
94590-0032
US

V. Phone/Fax

Practice location:
  • Phone: 650-933-4030
  • Fax:
Mailing address:
  • Phone:
  • 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: KAIHAN ZHONG
Title or Position: LMFT
Credential:
Phone: 650-933-4030