EDESSA MARY TAILO AMFT
NPI 1891419180
Marriage & Family Therapist in San Francisco, CA

Q: What is Edessa Tailo's NPI number?

The NPI number for Edessa Tailo is 1891419180. It was assigned to this individual provider in the NPPES registry on September 29, 2022.

Q: What is Edessa Tailo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edessa Tailo was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 29, 2022

3626 BALBOA ST, SAN FRANCISCO, CA 94121(415) 668-5955 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2023, Sep 29, 2022 (2 updates tracked since 2022).

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About Edessa Mary Tailo Amft NPPES

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

EDESSA MARY TAILO AMFT (NPI 1891419180) is an individual marriage & family therapist in San Francisco, California, licensed in California (136447) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1891419180

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameEDESSA MARY TAILOCredential: AMFT

Location Address3626 BALBOA STSan Francisco, CA 94121-2604

Mailing Address3626 Balboa StSan Francisco, CA 94121-2604 · (415) 668-5955

Phone(415) 668-5955

Sole ProprietorNo

Enumeration DateSeptember 29, 2022

Last NPPES UpdateApril 6, 20232 updates tracked since enumeration

NPPES CertifiedApril 6, 2023

✔ NPI 1891419180 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 · 136447

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.

3626 BALBOA ST, San Francisco, CA 94121

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARSHA JOSEPHINE WAINWRIGHT

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