Provider Demographics
NPI:1679232003
Name:BREVA MENTAL WELLNESS FAMILY THERAPY AND COUNSELING SERVICES CORP.
Entity Type:Organization
Organization Name:BREVA MENTAL WELLNESS FAMILY THERAPY AND COUNSELING SERVICES CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:JULIA
Authorized Official - Last Name:OCHOA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:562-712-1551
Mailing Address - Street 1:13601 WHITTIER BLVD STE 311
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90605-1968
Mailing Address - Country:US
Mailing Address - Phone:562-712-1551
Mailing Address - Fax:323-476-7945
Practice Address - Street 1:13601 WHITTIER BLVD STE 311
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-1968
Practice Address - Country:US
Practice Address - Phone:562-712-1551
Practice Address - Fax:323-476-7945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty