Search › California › 390200000X
Taylor Heissenbuttel
NPI 1700619988 · on the registry since 2024
Practice
- Address
- 1800 Gravenstein Hwy N
Sebastopol, CA 95472 - Phone
- (707) 823-7300
- Organisation at this address
- S.A.G.E Project
Tlc Child & Family Services
Tlc Child And Family ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 33
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California