Provider Demographics
NPI:1992500805
Name:MARIPOSA FAMILY COUNSELING INC.
Entity type:Organization
Organization Name:MARIPOSA FAMILY COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAIST
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:SCHLICK
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:831-515-8262
Mailing Address - Street 1:350 STANFORD AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-1108
Mailing Address - Country:US
Mailing Address - Phone:831-234-1127
Mailing Address - Fax:
Practice Address - Street 1:550 WATER ST STE F2
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-4131
Practice Address - Country:US
Practice Address - Phone:831-515-6252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-14
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty