# LIFESPAN THERAPY GROUP

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

## Provider details

- **NPI number:** 1821948845
- **Authorized official:** SHANNON NOSENZO-GOODMAN LMFT (CEO/OWNER)
- **Authorized official phone:** (209) 920-7828

## Contact information

- **Practice address:** 1132 SAN MARINO DR STE 209, SAN MARCOS, CA 92078-4600
- **Practice address phone:** (209) 920-7828
- **Practice address fax:** (760) 471-1803
- **Mailing address:** 1132 SAN MARINO DR STE 209, SAN MARCOS, CA 92078-4600
- **Mailing address phone:** (209) 920-7828
- **Mailing address fax:** (760) 471-1803

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2026
- **Last updated:** 03/01/2026