Provider Demographics
NPI:1699251579
Name:ESSENTIAL INSIGHT MARRIAGE AND FAMILY THERAPY
Entity type:Organization
Organization Name:ESSENTIAL INSIGHT MARRIAGE AND FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOFANY
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:702-526-7233
Mailing Address - Street 1:58 W GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14606-4707
Mailing Address - Country:US
Mailing Address - Phone:702-526-7233
Mailing Address - Fax:702-447-0303
Practice Address - Street 1:2300 BUFFALO RD BLDG 500A
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-1370
Practice Address - Country:US
Practice Address - Phone:702-526-7233
Practice Address - Fax:702-447-0303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-13
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001445261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)