Provider Demographics
NPI:1497545529
Name:FAMILY INSIGHT & INDIVIDUAL THERAPY INC
Entity type:Organization
Organization Name:FAMILY INSIGHT & INDIVIDUAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUKAS
Authorized Official - Middle Name:
Authorized Official - Last Name:DZIEMIDOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-356-8388
Mailing Address - Street 1:12605 VENTURA BLVD # 1078
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2415
Mailing Address - Country:US
Mailing Address - Phone:310-430-5088
Mailing Address - Fax:
Practice Address - Street 1:13126 1/4 VALLEYHEART DR
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-1980
Practice Address - Country:US
Practice Address - Phone:310-430-5088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty