Provider Demographics
NPI:1699505818
Name:NOVA MENTAL HEALTH THERAPY- INDIVIDUAL & FAMILY COUNSELING INC
Entity type:Organization
Organization Name:NOVA MENTAL HEALTH THERAPY- INDIVIDUAL & FAMILY COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCALANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-770-2070
Mailing Address - Street 1:1533 7TH ST STE 111
Mailing Address - Street 2:
Mailing Address - City:SANGER
Mailing Address - State:CA
Mailing Address - Zip Code:93657-2490
Mailing Address - Country:US
Mailing Address - Phone:559-770-2070
Mailing Address - Fax:
Practice Address - Street 1:1533 7TH ST STE 111
Practice Address - Street 2:
Practice Address - City:SANGER
Practice Address - State:CA
Practice Address - Zip Code:93657-2490
Practice Address - Country:US
Practice Address - Phone:559-770-2070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty