Provider Demographics
NPI:1043961253
Name:MINDFULSF MARRIAGE AND FAMILY THERAPY INC.
Entity type:Organization
Organization Name:MINDFULSF MARRIAGE AND FAMILY THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:415-323-0289
Mailing Address - Street 1:18 BARTOL ST # 1156
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-4501
Mailing Address - Country:US
Mailing Address - Phone:415-323-0289
Mailing Address - Fax:
Practice Address - Street 1:18 BARTOL ST # 1156
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133-4501
Practice Address - Country:US
Practice Address - Phone:415-323-0289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty