Provider Demographics
NPI:1043739576
Name:EVE'S PLACE OF PEACE
Entity Type:Organization
Organization Name:EVE'S PLACE OF PEACE
Other - Org Name:EVE MARIE FORD, LMFT
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:818-298-1742
Mailing Address - Street 1:15720 VENTURA BLVD STE 411
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-4704
Mailing Address - Country:US
Mailing Address - Phone:818-298-1742
Mailing Address - Fax:
Practice Address - Street 1:15720 VENTURA BLVD STE 411
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-4704
Practice Address - Country:US
Practice Address - Phone:818-298-1742
Practice Address - Fax:818-385-0236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT49570106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty