Gorham Family Therapy, Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

GORHAM FAMILY THERAPY, INC

Practice address

1444 Fulton St
Fresno, CA 93721-1610

Phone

(559) 663-0224

Fax

(559) 663-0225

NPI assigned

May 15, 2021

Organization subpart

No

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

Authorized official

Name

Tiffany Gorham, LMFT

Title

Owner

Phone

(559) 207-1408

Specialties & licenses 2

Addresses

Other names 1

• Townsend Therapy Services Doing business as

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

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621036800000",
    "number": "1427622331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1482",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936131482",
            "telephone_number": "559-207-1408",
            "fax_number": "559-663-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 FULTON ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211610",
            "telephone_number": "559-663-0224",
            "fax_number": "559-663-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORHAM FAMILY THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-15",
        "last_updated": "2021-05-15",
        "certification_date": "2021-05-15",
        "status": "A",
        "authorized_official_last_name": "GORHAM",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-207-1408",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Townsend Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wanda Kay Gordon McIntosh, LCSW
• Jolie Marie Gordon-Browar, RN
• Kierra Shaunte Gordon-Smith
• Jacqueline Gordon, LPCC
• Doris W Gordy, P.A.
• Ashley Nicole Gorham
• Jeffrey Stephen Gorman, DMD
• Jillian Gorman
• Steven Goss, P.A.
• Rhonda Gostanian, RD

• Marriage & Family Therapist in Fresno, CA
• Providers in Fresno, 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 May 15, 2021; 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.