Provider Demographics
NPI:1235852583
Name:ASTRAEA THERAPY A MARRIAGE AND FAMILY THERAPY INC
Entity Type:Organization
Organization Name:ASTRAEA THERAPY A MARRIAGE AND FAMILY THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PHU
Authorized Official - Middle Name:CONG
Authorized Official - Last Name:LUU
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:626-478-8010
Mailing Address - Street 1:7007 WASHINGTON AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-3616
Mailing Address - Country:US
Mailing Address - Phone:626-478-8010
Mailing Address - Fax:
Practice Address - Street 1:7007 WASHINGTON AVE STE 211
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-3616
Practice Address - Country:US
Practice Address - Phone:626-478-8010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty