Provider Demographics
NPI:1033733134
Name:ALEJANDRO SORIA, LICENSED MARRIAGE AND FAMILY THERAPIST CORPORATION
Entity Type:Organization
Organization Name:ALEJANDRO SORIA, LICENSED MARRIAGE AND FAMILY THERAPIST CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:SORIA
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:323-251-1509
Mailing Address - Street 1:13881 WALLABI AVE
Mailing Address - Street 2:
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-1933
Mailing Address - Country:US
Mailing Address - Phone:323-251-1509
Mailing Address - Fax:
Practice Address - Street 1:110 N MACLAY AVE STE 108
Practice Address - Street 2:
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340-2986
Practice Address - Country:US
Practice Address - Phone:323-251-1509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-04
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health