# BREAKAWAY CHILD AND FAMILY THERAPY, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BREAKAWAY CHILD AND FAMILY THERAPY, PC
- **Other names:** Breakaway Psychotherapy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366333841
- **Legal business name:** BREAKAWAY CHILD AND FAMILY THERAPY, PC
- **Authorized official:** VENYEI ANGH LMFT (FOUNDER)
- **Authorized official phone:** (510) 384-1778

## Contact information

- **Practice address:** 555 MASON ST STE 232, VACAVILLE, CA 95688-4640
- **Practice address phone:** (510) 384-1778
- **Mailing address:** PO BOX 5370, VACAVILLE, CA 95696-5370
- **Mailing address phone:** (510) 384-1778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2025
- **Last updated:** 09/04/2026
