Provider Demographics
NPI:1982402814
Name:ALI PALISCA MARRIAGE AND FAMILY THERAPY & COACHING SERVICES INC
Entity type:Organization
Organization Name:ALI PALISCA MARRIAGE AND FAMILY THERAPY & COACHING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:PALISCA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:831-854-7790
Mailing Address - Street 1:221 WILKES CIR
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-5933
Mailing Address - Country:US
Mailing Address - Phone:831-854-7790
Mailing Address - Fax:
Practice Address - Street 1:555 SOQUEL AVE STE 245
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-2340
Practice Address - Country:US
Practice Address - Phone:831-854-7790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)