Provider Demographics
NPI:1407409097
Name:GOZDE GOKOZAN, LMFT, LPCC, MARRIAGE, FAMILY AND CHILD PROFESSIONAL COU
Entity Type:Organization
Organization Name:GOZDE GOKOZAN, LMFT, LPCC, MARRIAGE, FAMILY AND CHILD PROFESSIONAL COU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GOZDE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOKOZAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LPCC
Authorized Official - Phone:424-333-0288
Mailing Address - Street 1:9615 BRIGHTON WAY STE 219
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5118
Mailing Address - Country:US
Mailing Address - Phone:424-333-0288
Mailing Address - Fax:
Practice Address - Street 1:9615 BRIGHTON WAY STE 219
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5118
Practice Address - Country:US
Practice Address - Phone:424-333-0288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1649640491OtherLMFT