Provider Demographics
NPI:1942013503
Name:CRAFTED FAMILY THERAPY SOLUTIONS
Entity type:Organization
Organization Name:CRAFTED FAMILY THERAPY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TARRAH
Authorized Official - Middle Name:D
Authorized Official - Last Name:WAUSON
Authorized Official - Suffix:
Authorized Official - Credentials:MACP, LMFT
Authorized Official - Phone:415-606-0730
Mailing Address - Street 1:3929 24TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-3703
Mailing Address - Country:US
Mailing Address - Phone:415-606-0730
Mailing Address - Fax:
Practice Address - Street 1:3929 24TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-3703
Practice Address - Country:US
Practice Address - Phone:415-606-0730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-28
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty