Provider Demographics
NPI:1710536883
Name:NICOLE ABADI, MARRIAGE AND FAMILY THERAPIST, INC
Entity Type:Organization
Organization Name:NICOLE ABADI, MARRIAGE AND FAMILY THERAPIST, INC
Other - Org Name:LBC WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABADI
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:562-576-3408
Mailing Address - Street 1:6475 E PACIFIC COAST HWY # 1027
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-4201
Mailing Address - Country:US
Mailing Address - Phone:562-576-3408
Mailing Address - Fax:
Practice Address - Street 1:3505 LONG BEACH BLVD
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807
Practice Address - Country:US
Practice Address - Phone:562-576-3408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-10
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty