Silver Fiddle Therapy
Organization Active NPI Marriage & Family Therapist · Pine Grove, CA
NPI 1639739121 · NPPES record last updated Jun 17, 2019
Key facts
- NPI
- 1639739121
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Legal business name
- SILVER FIDDLE THERAPY
- Practice address
- 19881 State Highway 88
Pine Grove, CA 95665-9495 - Phone
- (209) 560-6012
- NPI assigned
- Jun 17, 2019
- Organization subpart
- No
Authorized official
- Name
- Ms. Lola Marie Blevins, LMFT
- Title
- President
- Phone
- (209) 304-8821
Practitioners 1
-
Lola Blevins, MFT
National Provider Directory
Locations
19881 State Highway 88
Pine Grove, CA 95665
Phone (209) 560-6012
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
106H00000X | Yes |
Addresses
Primary practice location
19881 State Highway 88
Pine Grove, CA 95665-9495
Mailing address
PO Box 182
Volcano, CA 95689-0182
Phone (209) 304-8821
Other practice location 1
24521 Shake Ridge Rd
Volcano, CA 95689-9629
Phone (209) 560-6012
Other providers in Pine Grove, CA
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- Armen R Kendig
- Thanh Viet Nguyen
- Sharon Ann Sands
- Tasvir K Singh
- Arno Eugene Sullivan
- Sheldon Howard Suskauer
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- Macario Ruiz Vazquez
All providers in Pine Grove, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.