Provider Demographics
NPI:1922806116
Name:TRANSPARENT TALK MARRIAGE AND FAMILY THERAPY, PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:TRANSPARENT TALK MARRIAGE AND FAMILY THERAPY, PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AUBREY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANDE-STRATHDEE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:209-640-1560
Mailing Address - Street 1:5033 KENNETH AVE
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-4262
Mailing Address - Country:US
Mailing Address - Phone:209-640-1560
Mailing Address - Fax:
Practice Address - Street 1:5033 KENNETH AVE
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-4262
Practice Address - Country:US
Practice Address - Phone:209-640-1560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty