Invisible Womb Holistic & Integrative Marriage & Family Therapy, Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

INVISIBLE WOMB HOLISTIC & INTEGRATIVE MARRIAGE & FAMILY THERAPY, INC

Practice address

250 Panorama Dr
Benicia, CA 94510-1523

Phone

(510) 423-3493

Fax

(707) 261-0754

NPI assigned

Jan 26, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jetaun G Mills, LMFTNPI 1942698352

Title

Owner

Phone

(510) 423-3493

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jetaun Mills

  • Marriage & Family Therapist
  • Oakland, CA
  • NPI 1942698352
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1184486946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 SOUTHAMPTON RD # 228",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945101961",
            "telephone_number": "510-423-3493",
            "fax_number": "707-261-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PANORAMA DR",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945101523",
            "telephone_number": "510-423-3493",
            "fax_number": "707-261-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVISIBLE WOMB HOLISTIC & INTEGRATIVE MARRIAGE & FAMILY THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "JETAUN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-423-3493",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Benicia, CA
• Providers in Benicia, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.