# COLVIN INDIVIDUAL AND FAMILY THERAPY

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972834299
- **Authorized official:** MR. TIMOTHY HARPER COLVIN (PRESIDENT)
- **Authorized official phone:** (949) 290-4922

## Contact information

- **Practice address:** 2900 BRISTOL ST, SUITE A207, COSTA MESA, CA 92626-5981
- **Practice address phone:** (949) 290-4922
- **Mailing address:** 2900 BRISTOL ST, SUITE A207, COSTA MESA, CA 92626-5981
- **Mailing address phone:** (949) 290-4922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFC 44052 | CA | Yes |

## Other

- **Enumeration date:** 01/26/2010
- **Last updated:** 01/26/2010