Provider Demographics
NPI:1407649247
Name:THE TBH MOVEMENT, INC.
Entity type:Organization
Organization Name:THE TBH MOVEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOUSHIGE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:424-262-2454
Mailing Address - Street 1:553 N PACIFIC COAST HWY
Mailing Address - Street 2:PMB 337B
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-2163
Mailing Address - Country:US
Mailing Address - Phone:424-262-2454
Mailing Address - Fax:
Practice Address - Street 1:1611 S PACIFIC COAST HWY STE 205A
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-5611
Practice Address - Country:US
Practice Address - Phone:424-262-2454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-24
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)