Provider Demographics
NPI:1760139455
Name:MORANT MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:MORANT MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JOCELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS-BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:562-294-5707
Mailing Address - Street 1:PO BOX 756
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90801-0756
Mailing Address - Country:US
Mailing Address - Phone:562-294-5707
Mailing Address - Fax:
Practice Address - Street 1:850 E OCEAN BLVD UNIT 509
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-5450
Practice Address - Country:US
Practice Address - Phone:562-294-5707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty