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General NPI Number Information
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NPI Number | 1144032566
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Entity Type | Organization
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Legal Business Name | MINDRITE A MARRIAGE & FAMILY THERAPY CORPORATION
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 5266 HOLLISTER AVE STE 327
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City | SANTA BARBARA
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State | CA
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Zip | 93111-2084
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Country | US
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Telephone | 805-451-1679
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Fax |
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Provider Business Mailing Address
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Address Line | 1187 COAST VILLAGE RD STE 1-360
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City | SANTA BARBARA
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State | CA
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Zip | 93108-2737
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Country | US
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Telephone | 805-451-1679
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JACK THOMAS MAY III
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Credential | LMFT
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Telephone | 805-451-1679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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