Organization · NPI-2

Beautiful Evolution Marriage And Family Therapy Professional Corporation

Clinic/Center, Mental Health (Including Community Mental Health Center) · Roseville, CA

NPI number1013842640
StatusActive
Last updated in NPPESJun 15, 2026

Details

NPI
1013842640
Entity type
Organization (NPI-2)
Legal business name
Beautiful Evolution Marriage And Family Therapy Professional Corporation
Organization subpart
No
Enumeration date
Jun 15, 2026
Certification date
Jun 15, 2026
Last updated
Jun 15, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

3010 Lava Ridge Ct Ste 180
Roseville, CA 95661-3075

Phone 916-415-8421

Mailing address

3010 Lava Ridge Ct Ste 180
Roseville, CA 95661-3075

Phone 916-415-8421

Authorized official

Jennifer Clearwater
President
9164158421

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers in Roseville, CA