Provider Demographics
NPI:1821711581
Name:SOUL STRIDES, PC, A MARRIAGE AND FAMILY THERAPY CORPORATION
Entity type:Organization
Organization Name:SOUL STRIDES, PC, A MARRIAGE AND FAMILY THERAPY CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEAHY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:415-254-0797
Mailing Address - Street 1:3 GOPHER FLAT RD UNIT 561
Mailing Address - Street 2:
Mailing Address - City:SUTTER CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:95685-3022
Mailing Address - Country:US
Mailing Address - Phone:415-254-0797
Mailing Address - Fax:510-936-8408
Practice Address - Street 1:15374 SUTTER HIGHLANDS DR
Practice Address - Street 2:
Practice Address - City:SUTTER CREEK
Practice Address - State:CA
Practice Address - Zip Code:95685-9408
Practice Address - Country:US
Practice Address - Phone:415-254-0797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health