Provider Demographics
NPI:1477353845
Name:CHARLOTTE HAIGH MARRIAGE AND FAMILY THERAPY, INC.
Entity type:Organization
Organization Name:CHARLOTTE HAIGH MARRIAGE AND FAMILY THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, CLINICAL SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:HAIGH
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:310-421-8751
Mailing Address - Street 1:1615 WILCOX AVE UNIT 3171
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90078-7159
Mailing Address - Country:US
Mailing Address - Phone:310-421-8751
Mailing Address - Fax:
Practice Address - Street 1:627 N LARCHMONT BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-1307
Practice Address - Country:US
Practice Address - Phone:310-421-8751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHARLOTTE HAIGH MARRIAGE AND FAMILY THERAPY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)