Provider Demographics
NPI:1558909960
Name:SELF CARE COUNSELING MARRIAGE FAMILY AND CHILD THERAPY INC.
Entity Type:Organization
Organization Name:SELF CARE COUNSELING MARRIAGE FAMILY AND CHILD THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MFT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:ELENA
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:213-347-4740
Mailing Address - Street 1:1910 W SUNSET BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-3262
Mailing Address - Country:US
Mailing Address - Phone:213-347-4740
Mailing Address - Fax:818-476-7206
Practice Address - Street 1:1910 W SUNSET BLVD STE 400
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-3262
Practice Address - Country:US
Practice Address - Phone:213-347-4740
Practice Address - Fax:818-476-7206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-16
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty