# MOUNTAIN MEADOWS MARRIAGE & FAMILY THERAPY, INC

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

## Provider details

- **NPI number:** 1639930183
- **Authorized official:** BROOKE M PORTER LMFT (CEO, CFO, SECRETARY)
- **Authorized official phone:** (661) 550-2085

## Contact information

- **Practice address:** 43250 OAK DRIVE, POSEY, CA 93260
- **Practice address phone:** (661) 270-7696
- **Mailing address:** PO BOX 189, POSEY, CA 93260-0189

## Taxonomy

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

## Other

- **Enumeration date:** 01/22/2024
- **Last updated:** 03/08/2024