MEDICARE: BRIDGES TO UNDERSTANDING FAMILY THERAPY SERVICES, 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	:	1528651700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIDGES TO UNDERSTANDING FAMILY THERAPY SERVICES, INC.

Provider Business Mailing Address
First Line	:	1083 VINE ST STE 320
Second Line	:
City	:	HEALDSBURG
State	:	CA
Zip	:	95448-4830
Country	:	US
Telephone Number	:	714-334-9657
Fax Number	:	707-723-0330

Provider Business Practice Location Address
First Line	:	132 MILL ST STE 210
Second Line	:
City	:	HEALDSBURG
State	:	CA
Zip	:	95448-4462
Country	:	US
Telephone Number	:	707-395-7550
Fax Number	:	707-723-0330

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTY LYNN LIVINGSTON
Credential	:	LMFT, RPT-S
Telephone Number	:	714-334-9657

Provider Enumeration Date	:	02/18/2021
Last Update Date	:	09/12/2023

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