| Emblaze Family Therapy Inc | |
|
16300 Crenshaw Blvd Ste 208c Torrance CA 90504-1441 | |
| (818) 751-2008 | |
| (866) 219-1310 |
| Full Name | Emblaze Family Therapy Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 16300 Crenshaw Blvd Ste 208c, Torrance, California |
| Authorized Official Name and Position | Kelley Lewis (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3234956521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emblaze Family Therapy Inc Po Box 3228 Gardena CA 90247-1428 Ph: (818) 751-2008 | Emblaze Family Therapy Inc 16300 Crenshaw Blvd Ste 208c Torrance CA 90504-1441 Ph: (818) 751-2008 |
| NPI Number | 1881233047 |
|---|---|
| Provider Enumeration Date | 01/04/2020 |
| Last Update Date | 01/28/2021 |
| Certification Date | 01/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881233047 | NPI | - | NPPES |
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