Provider Demographics
NPI:1215740337
Name:FENECH ENTERPRISES, A MARRIAGE & FAMILY THERAPY CORPORATION
Entity type:Organization
Organization Name:FENECH ENTERPRISES, A MARRIAGE & FAMILY THERAPY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:FENECH
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT#134210
Authorized Official - Phone:650-815-5071
Mailing Address - Street 1:44 LUPINE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-2721
Mailing Address - Country:US
Mailing Address - Phone:650-815-5071
Mailing Address - Fax:
Practice Address - Street 1:200 SAN MARLO WAY STE 4
Practice Address - Street 2:
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-3274
Practice Address - Country:US
Practice Address - Phone:530-536-0563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-31
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health