Provider Demographics
NPI:1003469966
Name:NOW HOUSE THERAPY CENTER
Entity Type:Organization
Organization Name:NOW HOUSE THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATTI
Authorized Official - Middle Name:
Authorized Official - Last Name:DENGLER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:805-807-0642
Mailing Address - Street 1:31324 VIA COLINAS STE 111
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-6759
Mailing Address - Country:US
Mailing Address - Phone:805-807-0642
Mailing Address - Fax:818-436-4679
Practice Address - Street 1:31324 VIA COLINAS STE 111
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-6759
Practice Address - Country:US
Practice Address - Phone:805-807-0642
Practice Address - Fax:818-436-4679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-19
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)