Organization
RD FAMILY THERAPY INC.
Active
Other names
RD Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RYANN LANE DESOUZA LMFT (CEO)
(650) 720-5263
Entity
Organization
Contact information
Practice address
1150 BRICKYARD COVE RD UNIT B12, RICHMOND, CA 94801-4181
(650) 720-5263
(510) 788-5044
Mailing address
1150 BRICKYARD COVE RD UNIT B12, RICHMOND, CA 94801-4181
(650) 720-5263
(510) 788-5044
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043493042
OTHER INSURERS
CA
Enumeration date
02/21/2020
Last updated
02/21/2020
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