Look up the most recent NPI and PECOS records

Sonoma Family Therapy Inc

Marriage & Family Therapist

Behavioral Health & Social Service Providers

2230 Professional Dr Ste A, Santa Rosa, CA 95403-3015

PECOS Enrollment

Based on the most recent information from CMS, provider Sonoma Family Therapy Inc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1134588023
Provider Type
Organization
Full Name
Sonoma Family Therapy Inc

Subpart
No
Enumeration Date
2/19/2016
Last Updated
9/30/2024

Contact Information

Practice Location

2230 Professional Dr Ste A, Santa Rosa, CA 95403-3015

(707) 483-9061

Unlisted Fax

Mailing Location

2635 Cleveland Ave Ste 10, Santa Rosa, CA 95403-2997

(707) 889-7317

Unlisted Fax

Authorized Official

Ballard, Jennifer (Owner)

(707) 889-7317

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License Unlisted Issuer

Sonoma Family Therapy Inc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Dobbins, Victoria

Cutler, Theresa Ann

Sonoma County Child & Family Counseling, Inc.

Barajas, Megan

Heaney, Jessica Rose

Currier, Kelly

Genthe, William F.

Evans, David Arland

Dunn, Carolyn B.

Carlozzi, Dante