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Organization
LIFE BY DESIGN MARRIAGE AND FAMILY THERAPY INC
Active
Organization
LIFE BY DESIGN MARRIAGE AND FAMILY THERAPY INC
Active
Other names
Life by Design Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY WRIGHT (PRESIDENT)
(510) 646-0046
Entity
Organization
Contact information
Practice address
2140 SHATTUCK AVE, BERKELEY, CA 94704-1210
(510) 646-0046
Mailing address
1611 SYCAMORE AVE UNIT 5511, HERCULES, CA 94547-6021
(510) 646-0046
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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