Provider Demographics
NPI:1982437042
Name:EVER AFTER INDIVIDUAL AND FAMILY THERAPY
Entity type:Organization
Organization Name:EVER AFTER INDIVIDUAL AND FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIEF CLINICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:925-302-6071
Mailing Address - Street 1:2415 SAN RAMON VALLEY BLVD # 4180
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-5381
Mailing Address - Country:US
Mailing Address - Phone:925-302-6071
Mailing Address - Fax:
Practice Address - Street 1:2415 SAN RAMON VALLEY BLVD # 4180
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-5381
Practice Address - Country:US
Practice Address - Phone:925-302-6071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EVER AFTER INDIVIDUAL AND FAMILY THERAPY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-23
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty