Provider Demographics
NPI:1508459058
Name:ERIC DURRSCHMIDT MARRIAGE AND FAMILY THERAPIST
Entity Type:Organization
Organization Name:ERIC DURRSCHMIDT MARRIAGE AND FAMILY THERAPIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:DURRSCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:323-423-6667
Mailing Address - Street 1:767 E SUNNY DUNES RD
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92264-8196
Mailing Address - Country:US
Mailing Address - Phone:323-423-6667
Mailing Address - Fax:
Practice Address - Street 1:1137 2ND ST STE 201
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-5086
Practice Address - Country:US
Practice Address - Phone:323-423-6667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty