Provider Demographics
NPI:1235941204
Name:SANTA YNEZ VALLEY MARRIAGE & FAMILY THERAPY INC.
Entity type:Organization
Organization Name:SANTA YNEZ VALLEY MARRIAGE & FAMILY THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:E M
Authorized Official - Last Name:FLECKENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:805-291-9389
Mailing Address - Street 1:85 W HIGHWAY 246 STE 140
Mailing Address - Street 2:
Mailing Address - City:BUELLTON
Mailing Address - State:CA
Mailing Address - Zip Code:93427-9719
Mailing Address - Country:US
Mailing Address - Phone:805-694-8297
Mailing Address - Fax:
Practice Address - Street 1:2030 VIBORG RD STE 107
Practice Address - Street 2:
Practice Address - City:SOLVANG
Practice Address - State:CA
Practice Address - Zip Code:93463-3224
Practice Address - Country:US
Practice Address - Phone:805-694-8297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty