# SACTOWN THERAPY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** SacTown Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417740473
- **Authorized official:** DR. DR KELLEN R GRAYSON PSY.D. LMFT (CEO)
- **Authorized official phone:** (415) 320-0141

## Contact information

- **Practice address:** 4070 BRIDGE ST STE 3, FAIR OAKS, CA 95628-7557
- **Practice address phone:** (415) 320-0141
- **Practice address fax:** (916) 357-9111
- **Mailing address:** 4070 BRIDGE ST STE 3, FAIR OAKS, CA 95628-7557
- **Mailing address phone:** (415) 320-0141
- **Mailing address fax:** (916) 357-9111

## Taxonomy

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

## Other

- **Enumeration date:** 05/23/2025
- **Last updated:** 05/23/2025