Provider Demographics
NPI:1689430159
Name:SCHWEDES MARRIAGE AND FAMILY THERAPY INC
Entity Type:Organization
Organization Name:SCHWEDES MARRIAGE AND FAMILY THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CECILE
Authorized Official - Middle Name:GENERAUX
Authorized Official - Last Name:SCHWEDES
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:805-795-5515
Mailing Address - Street 1:2239 TOWNSGATE RD STE 107
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2431
Mailing Address - Country:US
Mailing Address - Phone:805-795-5515
Mailing Address - Fax:
Practice Address - Street 1:2239 TOWNSGATE RD STE 107
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2431
Practice Address - Country:US
Practice Address - Phone:805-795-5515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health