Organization · Type 2 NPI

Embodied Ecology Group

Marriage & Family Therapist · Soquel, CA

NPI number 1346776226 Active

Practice location

2425 Porter St Ste 7
Soquel, CA 95073-2454

Fax (831) 476-7529

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	80304 (CA)
Marriage & Family Therapist	106H00000X	None listed
Mechanotherapist	172M00000X	50028 (CA)
Health Educator	174H00000X	None listed

Marriage & Family Therapist: 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 ment…

NPI record

NPI: 1346776226
Entity type: Organization (Type 2)
Issued: May 11, 2017
Last updated: Dec 11, 2020
Status: Active

Other names

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Santa Cruz Neurofeedback Center · doing business as
The Center · doing business as
The Center · doing business as

Authorized official

Langdon Se Roberts
CEO
(831) 239-6353

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346776226

Embodied Ecology Group's National Provider Identifier is 1346776226, issued on May 11, 2017. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Soquel, CA. The record was last updated on Dec 11, 2020.