Provider Demographics
NPI:1528574019
Name:JORI ADLER MARRIAGE & FAMILY THERAPY PROF. CORP.
Entity Type:Organization
Organization Name:JORI ADLER MARRIAGE & FAMILY THERAPY PROF. CORP.
Other - Org Name:FLOW HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JORI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-569-3404
Mailing Address - Street 1:3848 LYCEUM AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-4125
Mailing Address - Country:US
Mailing Address - Phone:310-569-3404
Mailing Address - Fax:
Practice Address - Street 1:3846 LYCEUM AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-4125
Practice Address - Country:US
Practice Address - Phone:310-569-3404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-19
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84051103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty