Provider Demographics
NPI:1932940137
Name:BARRAGAN PROFESSIONAL MARRIAGE AND FAMILY THERAPY INC
Entity type:Organization
Organization Name:BARRAGAN PROFESSIONAL MARRIAGE AND FAMILY THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:408-766-4290
Mailing Address - Street 1:425 PAGE MILL RD STE 200
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-2075
Mailing Address - Country:US
Mailing Address - Phone:087-664-2904
Mailing Address - Fax:
Practice Address - Street 1:425 PAGE MILL RD STE 200
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-2075
Practice Address - Country:US
Practice Address - Phone:408-766-4290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-03
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty