Provider Demographics
NPI:1427592682
Name:THERAPY NATURALLY
Entity Type:Organization
Organization Name:THERAPY NATURALLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:PENSO
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:310-955-8989
Mailing Address - Street 1:26130 NARBONNE AVE UNIT 138
Mailing Address - Street 2:
Mailing Address - City:LOMITA
Mailing Address - State:CA
Mailing Address - Zip Code:90717-2934
Mailing Address - Country:US
Mailing Address - Phone:310-955-8989
Mailing Address - Fax:
Practice Address - Street 1:4305 TORRANCE BLVD STE 300
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4412
Practice Address - Country:US
Practice Address - Phone:310-371-0197
Practice Address - Fax:310-868-2593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-07
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79119106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty