Provider Demographics
NPI:1669853453
Name:FOCUS ON ALL-CHILD THERAPIES, INC
Entity Type:Organization
Organization Name:FOCUS ON ALL-CHILD THERAPIES, INC
Other - Org Name:FAMILY, ADULT, AND CHILD THERAPIES
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDRON OSTROW
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:310-475-9620
Mailing Address - Street 1:10642 SANTA MONICA BLVD
Mailing Address - Street 2:#202
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-4525
Mailing Address - Country:US
Mailing Address - Phone:310-475-9620
Mailing Address - Fax:310-470-3169
Practice Address - Street 1:10642 SANTA MONICA BLVD
Practice Address - Street 2:#202
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-4525
Practice Address - Country:US
Practice Address - Phone:310-475-9620
Practice Address - Fax:310-470-3169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-17
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-12-10496103K00000X
CA617911041C0700X
CA36831041C0700X
CA47461106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty