Organization Name: | MID-PENINSULA EATING DISORDER CLINIC, A MARRIAGE AND FAMILY THERAPY CO |
NPI Number: | 1093190407 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EMILY CARUTHERS (PRESIDENT/FOUNDER) |
Mailing Address: | 1225 Crane St Suite 205 Menlo Park |
State: | CA US |
Postal Code: | 940254257 |
Phone Number: | 6503197225 |
Fax Number: | 6506185556 |
NPI Enumeration Date: | 07/27/2015 |
NPI Last Update Date: | 07/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 106H00000X |
License Number: | LMFT44947 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Marriage & Family Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |