# SEQUOIA FAMILY THERAPY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053147058
- **Authorized official:** PRISCILLA GUADALUPE DOMINGUEZ MFT-ASSOCIATE (MANAGING MEMBER)
- **Authorized official phone:** (469) 364-9730

## Contact information

- **Practice address:** 1071 LAKE CAROLYN PARKWAY, APT 4064, IRVING, TX 75039
- **Practice address phone:** (469) 364-9730
- **Mailing address:** 539 W COMMERCE ST \# 5466, DALLAS, TX 75208-1953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 09/09/2024
- **Last updated:** 09/09/2024