ALICE PETTY-HANNUM MFT
NPI 1336686369
Community/Behavioral Health in Santa Rosa, CA

Q: What is Bridges To Self Empowerment A Marriage And Family Therapist Corporatio's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since January 29, 2017

406 CHINN ST, SANTA ROSA, CA 95404(707) 495-5350(707) 570-2680 Get Directions Write a Review

NPPES record last updated: January 29, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Alice Petty-hannum Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICE PETTY-HANNUM MFT (NPI 1336686369) is a healthcare organization registered as a community/behavioral health in Santa Rosa, California and active in the NPI registry since January 2017. The organization lists Alice Dee Petty-hannum, Corporation Owner, as its authorized official.

NPPES Registry Identity

NPI1336686369

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameBRIDGES TO SELF EMPOWERMENT A MARRIAGE AND FAMILY THERAPIST CORPORATIO

Location Address406 CHINN STSanta Rosa, CA 95404-4339

Mailing Address406 Chinn StSanta Rosa, CA 95404-4339 · (707) 495-5350 · Fax (707) 570-2680

Phone(707) 495-5350

Fax(707) 570-2680

Organization SubpartYesParent: Bridges To Self Empowerment

Authorized OfficialAlice Dee Petty-hannumCorporation Owner · (707) 495-5350

Enumeration DateJanuary 29, 2017

✔ NPI 1336686369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in CA · MFC43967

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

406 CHINN ST, Santa Rosa, CA 95404

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Other Names 1

Doing Business AsAlice Petty-hannum Mft

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