Provider Demographics
NPI:1366021172
Name:LARCO MARRIAGE AND FAMILY THERAPY INC.
Entity Type:Organization
Organization Name:LARCO MARRIAGE AND FAMILY THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:R
Authorized Official - Last Name:LARCO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:661-425-7333
Mailing Address - Street 1:27201 TOURNEY RD STE 201
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1804
Mailing Address - Country:US
Mailing Address - Phone:661-425-7333
Mailing Address - Fax:661-727-0074
Practice Address - Street 1:27201 TOURNEY RD STE 201
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1804
Practice Address - Country:US
Practice Address - Phone:661-425-7333
Practice Address - Fax:661-727-0074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty