Provider Demographics
NPI:1801768064
Name:TABLE FAMILY THERAPY CORP.
Entity type:Organization
Organization Name:TABLE FAMILY THERAPY CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:TIEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:626-630-6273
Mailing Address - Street 1:2261 MARKET ST STE 5993
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-1612
Mailing Address - Country:US
Mailing Address - Phone:626-630-6273
Mailing Address - Fax:
Practice Address - Street 1:490 POST ST STE 939
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-1414
Practice Address - Country:US
Practice Address - Phone:626-630-6273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty