Provider Demographics
NPI:1992432785
Name:TECH CONNECT RESET FAMILY COUNSELING INC
Entity type:Organization
Organization Name:TECH CONNECT RESET FAMILY COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:VIRGINIE
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:GOLDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:408-504-7405
Mailing Address - Street 1:21710 STEVENS CREEK BLVD STE 240
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-1174
Mailing Address - Country:US
Mailing Address - Phone:408-504-7405
Mailing Address - Fax:
Practice Address - Street 1:21710 STEVENS CREEK BLVD STE 240
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-1174
Practice Address - Country:US
Practice Address - Phone:408-504-7405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty