Provider Demographics
NPI:1811545312
Name:LADC FAMILY THERAPY SOLUTIONS LLC
Entity Type:Organization
Organization Name:LADC FAMILY THERAPY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KEM
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:818-209-2162
Mailing Address - Street 1:13627 COLGATE WAY APT 842
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-7240
Mailing Address - Country:US
Mailing Address - Phone:818-839-0163
Mailing Address - Fax:
Practice Address - Street 1:13627 COLGATE WAY APT 842
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7240
Practice Address - Country:US
Practice Address - Phone:818-839-0163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health