Provider Demographics
NPI:1578184834
Name:KHAKI, BINA (AMFT)
Entity Type:Individual
Prefix:
First Name:BINA
Middle Name:
Last Name:KHAKI
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5701 LINDERO CANYON RD STE 1-201
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-6490
Mailing Address - Country:US
Mailing Address - Phone:818-661-0612
Mailing Address - Fax:
Practice Address - Street 1:1010 N CENTRAL AVE # 310
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-2937
Practice Address - Country:US
Practice Address - Phone:818-724-9770
Practice Address - Fax:818-484-2991
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-28
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty