MEDICARE: SIMPLY MARRIAGE & FAMILY THERAPY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1194671958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIMPLY MARRIAGE & FAMILY THERAPY INC

Provider Business Mailing Address
First Line	:	4571 SANDPIPER CIR
Second Line	:
City	:	TURLOCK
State	:	CA
Zip	:	95382-8692
Country	:	US
Telephone Number	:	209-648-9661
Fax Number	:	209-566-0150

Provider Business Practice Location Address
First Line	:	121 W MAIN ST STE G
Second Line	:
City	:	TURLOCK
State	:	CA
Zip	:	95380-4845
Country	:	US
Telephone Number	:	209-648-9661
Fax Number	:	209-566-0150

Authorized Official
Title or Position	:	OWNER
Name	:	YVETTE ALLIVATO
Credential	:	LMFT
Telephone Number	:	209-648-9661

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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