Provider Demographics
NPI:1760162374
Name:KIND MARRIAGE AND FAMILY THERAPY, INC.
Entity Type:Organization
Organization Name:KIND MARRIAGE AND FAMILY THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIENERT KIND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-721-7591
Mailing Address - Street 1:8581 SANTA MONICA BLVD # 52
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-4120
Mailing Address - Country:US
Mailing Address - Phone:310-721-7591
Mailing Address - Fax:
Practice Address - Street 1:2009 FARRELL AVE UNIT B
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90278-1816
Practice Address - Country:US
Practice Address - Phone:310-721-7591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty