Provider Demographics
NPI:1821735663
Name:VIVE INDIVIDUAL AND FAMILY THERAPY INC
Entity Type:Organization
Organization Name:VIVE INDIVIDUAL AND FAMILY THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDIEL GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:805-637-7706
Mailing Address - Street 1:6816 NEWELL ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-5431
Mailing Address - Country:US
Mailing Address - Phone:805-637-7706
Mailing Address - Fax:
Practice Address - Street 1:6816 NEWELL ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-5431
Practice Address - Country:US
Practice Address - Phone:805-637-7706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-13
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty