Provider Demographics
NPI:1023575040
Name:3 TO 8 RANGE FAMILY THERAPY, INC.
Entity type:Organization
Organization Name:3 TO 8 RANGE FAMILY THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:RICKER
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:760-285-1603
Mailing Address - Street 1:PO BOX 2225
Mailing Address - Street 2:
Mailing Address - City:YUCCA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92286-2225
Mailing Address - Country:US
Mailing Address - Phone:760-285-1603
Mailing Address - Fax:760-418-4303
Practice Address - Street 1:7211 JOSHUA LN STE 3
Practice Address - Street 2:
Practice Address - City:YUCCA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92284-2956
Practice Address - Country:US
Practice Address - Phone:760-285-1603
Practice Address - Fax:760-418-4303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-26
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty