| Etchilds Group, Inc. | |
|
11650 Riverside Dr Ste 7 Studio City CA 91602-1066 | |
| (818) 985-4200 | |
| Not Available |
| Full Name | Etchilds Group, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 11650 Riverside Dr Ste 7, Studio City, California |
| Authorized Official Name and Position | Erin Therese Childs (OWNER) |
| Authorized Official Contact | 8189854200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etchilds Group, Inc. 11650 Riverside Dr Ste 7 Studio City CA 91602-1066 Ph: (818) 985-4200 | Etchilds Group, Inc. 11650 Riverside Dr Ste 7 Studio City CA 91602-1066 Ph: (818) 985-4200 |
| NPI Number | 1457816829 |
|---|---|
| Provider Enumeration Date | 02/09/2019 |
| Last Update Date | 11/13/2020 |
| Certification Date | 11/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457816829 | NPI | - | NPPES |
| MFT172543 | Other | CA | STATE LICENSE |
| LPC154 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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