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

Individual provider Marriage & Family Therapist · NPI 1003583220

Phoenix Song, LMFT is a Marriage & Family Therapist in Berkeley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

1400 Shattuck Ave Ste 12 #228
Berkeley, CA 94709-1411
Phone: (415) 545-8215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 109093 (CA)

Record details

NPI number1003583220
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT
Sole proprietorYes
NPI enumeratedAugust 25, 2021
Last updated in NPPESDecember 27, 2021
Certification dateSeptember 27, 2021
Mailing address1400 Shattuck Ave, Ste 12, 228, Berkeley, CA 94709-1411

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