Provider Demographics
NPI:1235512088
Name:CENTERED INDIVIDUAL & FAMILY COUNSELING INC
Entity Type:Organization
Organization Name:CENTERED INDIVIDUAL & FAMILY COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-810-9233
Mailing Address - Street 1:2716 S VERMONT AVE STE 9
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90007-2594
Mailing Address - Country:US
Mailing Address - Phone:323-810-9233
Mailing Address - Fax:877-977-9342
Practice Address - Street 1:2716 S VERMONT AVE
Practice Address - Street 2:UNIT 9
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90007-2671
Practice Address - Country:US
Practice Address - Phone:310-489-5322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-29
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 43235106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty