Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Big Life Change Therapy

Organization Counselor · NPI 1669311007

Big Life Change Therapy is a Counselor in San Rafael, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

822 D St
San Rafael, CA 94901-2814
Phone: (510) 831-3502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1669311007
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gabrielle Lopez — Amft · (646) 228-8602
NPI enumeratedMarch 27, 2026
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing address822 D St, San Rafael, CA 94901-2814

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