# COMMUNITY BASED FAMILY THERAPY ASSOCIATES, INC.

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

## Provider details

- **NPI number:** 1194815969
- **Authorized official:** TERRI TAYLOR MS, LMFT (CEO)
- **Authorized official phone:** (651) 206-3584

## Contact information

- **Practice address:** 1937 WOODLANE DR STE 206, WOODBURY, MN 55125-4044
- **Practice address phone:** (651) 206-3584
- **Practice address fax:** (651) 501-7649
- **Mailing address:** 1937 WOODLANE DR STE 206, WOODBURY, MN 55125-4044
- **Mailing address phone:** (651) 206-3584
- **Mailing address fax:** (651) 501-7649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 1430 | MN | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 08/25/2024