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

Bridges to Self Empowerment a Marriage and Family Therapist Corporatio

Organization Community/Behavioral Health Agency · NPI 1336686369

Bridges to Self Empowerment a Marriage and Family Therapist Corporatio is a Community/Behavioral Health Agency in Santa Rosa, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

406 Chinn St
Santa Rosa, CA 95404-4339
Phone: (707) 495-5350
Fax: (707) 570-2680
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence MFC43967 (CA)

Record details

NPI number1336686369
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBridges to Self Empowerment
Authorized official Alice Petty-Hannum — Corporation Owner · (707) 495-5350
Other names Alice Petty-Hannum Mft
NPI enumeratedJanuary 29, 2017
Last updated in NPPESJanuary 29, 2017
Mailing address406 Chinn St, Santa Rosa, CA 95404-4339

Other providers in Santa Rosa