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General NPI Number Information
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NPI Number | 1831001064
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Entity Type | Organization
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Legal Business Name | CHILDREN AND FAMILY WELLNESS CENTER LLC
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 1742 N VASCO RD
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City | LIVERMORE
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State | CA
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Zip | 94551-9218
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Country | US
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Telephone | 510-543-6366
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Fax |
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Provider Business Mailing Address
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Address Line | 1742 N VASCO RD
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City | LIVERMORE
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State | CA
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Zip | 94551-9218
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Country | US
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Telephone | 925-215-6467
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. TAMBRA SERRETTE ROBINSON MOLA
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Credential |
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Telephone | 510-543-6366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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