| Vida Therapy Marriage Family And Child Counceling Inc. | |
|
15233 Ventura Blvd Ste 1208 Sherman Oaks CA 91403-2271 | |
| (818) 650-0255 | |
| Not Available |
| Full Name | Vida Therapy Marriage Family And Child Counceling Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 15233 Ventura Blvd Ste 1208, Sherman Oaks, California |
| Authorized Official Name and Position | Zeahlot A Lopez (CEO) |
| Authorized Official Contact | 8186500255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Therapy Marriage Family And Child Counceling Inc. 15233 Ventura Blvd Ste 1208 Sherman Oaks CA 91403-2271 Ph: (818) 650-0255 | Vida Therapy Marriage Family And Child Counceling Inc. 15233 Ventura Blvd Ste 1208 Sherman Oaks CA 91403-2271 Ph: (818) 650-0255 |
| NPI Number | 1629551940 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 09/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629551940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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