Provider Demographics
NPI:1275230211
Name:POWER TALK MARRIAGE AND FAMILY THERAPY INC.
Entity Type:Organization
Organization Name:POWER TALK MARRIAGE AND FAMILY THERAPY INC.
Other - Org Name:POWER TALK THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHI
Authorized Official - Middle Name:HANG
Authorized Official - Last Name:CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:626-569-8397
Mailing Address - Street 1:3181 SPECTRUM
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3370
Mailing Address - Country:US
Mailing Address - Phone:626-569-8397
Mailing Address - Fax:
Practice Address - Street 1:3181 SPECTRUM
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3370
Practice Address - Country:US
Practice Address - Phone:626-569-8397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-09
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty