| Lively Family Therapy Inc | |
|
572 Rio Lindo Ave Ste 203 Chico CA 95926-1851 | |
| (530) 680-0849 | |
| Not Available |
| Full Name | Lively Family Therapy Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 572 Rio Lindo Ave Ste 203, Chico, California |
| Authorized Official Name and Position | Katharine Lively (OWNER/PROVIDER) |
| Authorized Official Contact | 5306800849 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lively Family Therapy Inc 2 Cheshire Ct Chico CA 95926-1074 Ph: (532) 680-0849 | Lively Family Therapy Inc 572 Rio Lindo Ave Ste 203 Chico CA 95926-1851 Ph: (530) 680-0849 |
| NPI Number | 1578345617 |
|---|---|
| Provider Enumeration Date | 10/13/2023 |
| Last Update Date | 10/13/2023 |
| Certification Date | 10/13/2023 |
| Medicare PECOS PAC ID | 7517491046 |
|---|---|
| Medicare Enrollment ID | O20241106003502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578345617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Katharine Marie Lively |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275980609 PECOS PAC ID: 8426582958 Enrollment ID: I20241106003551 |
Tula Therapy By Emma Todd Licensed Clinical Social Worker Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 389 Connors Ct Ste C, Chico, CA 95926 Phone: 530-366-0755 | |
Sea Glass Therapy And Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3359 Penzance Ave, Chico, CA 95973 Phone: 405-451-5330 | |