CHANGE BY CONIAH FAMILY COUNSELING, A PROFESSIONAL CORPORATION
NPI 1467931022
Marriage & Family Therapist in Elk Grove, CA

Q: What is Change By Coniah Family Counseling, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since August 14, 2018

2376 MARITIME DR STE 200, ELK GROVE, CA 95758(916) 531-5647(916) 405-3470 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Change By Coniah Family Counseling, A Professional Corporation NPPES

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

CHANGE BY CONIAH FAMILY COUNSELING, A PROFESSIONAL CORPORATION (NPI 1467931022) is a healthcare organization registered as a marriage & family therapist in Elk Grove, California and active in the NPI registry since August 2018. The organization lists Carol Letresse Wallace, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467931022

Entity TypeOrganization

Primary Taxonomy106H00000X

Legal Business NameCHANGE BY CONIAH FAMILY COUNSELING, A PROFESSIONAL CORPORATION

Location Address2376 MARITIME DR STE 200Elk Grove, CA 95758-3640

Mailing Address2376 Maritime Dr Ste 200Elk Grove, CA 95758-3640 · (916) 531-5647 · Fax (916) 531-5647

Phone(916) 531-5647

Fax(916) 405-3470

Organization SubpartNo

Authorized OfficialCarol Letresse WallaceCeo · (916) 531-5647

Enumeration DateAugust 14, 2018

✔ NPI 1467931022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · LMFT48746

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2376 MARITIME DR STE 200, Elk Grove, CA 95758

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Change By Coniah Family Counseling, A Professional Corporation's NPI number?

The NPI number for Change By Coniah Family Counseling, A Professional Corporation is 1467931022. It was assigned to this organization in the NPPES registry on August 14, 2018.

Where is Change By Coniah Family Counseling, A Professional Corporation located?

Change By Coniah Family Counseling, A Professional Corporation is located at 2376 Maritime Dr Ste 200, Elk Grove, CA 95758. The listed phone number is (916) 531-5647.

What is Change By Coniah Family Counseling, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Change By Coniah Family Counseling, A Professional Corporation was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.