Provider Demographics
NPI:1932086055
Name:TRANSFORM AND THRIVE MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORP
Entity type:Organization
Organization Name:TRANSFORM AND THRIVE MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMOY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:415-814-9699
Mailing Address - Street 1:3941 PARK DR STE 20-648
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-4549
Mailing Address - Country:US
Mailing Address - Phone:415-814-9699
Mailing Address - Fax:
Practice Address - Street 1:3941 PARK DR STE 20-648
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-4549
Practice Address - Country:US
Practice Address - Phone:415-814-6999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty