# MYFAITH COMMUNITY & COUNSELING SERVICES

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

## Provider details

- **NPI number:** 1194505115
- **Authorized official:** DR. RICHARD C HANZY LMFT (LMFT / OWNER)
- **Authorized official phone:** (925) 481-9710

## Contact information

- **Practice address:** 2926 LONE TREE WAY, ANTIOCH, CA 94509-4924
- **Practice address phone:** (925) 481-9710
- **Mailing address:** 2156 NEWCASTLE DR, VACAVILLE, CA 95687-8251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2023
- **Last updated:** 10/05/2023