Provider Demographics
NPI:1700475183
Name:ERIKA BEHNKE, MARRIAGE & FAMILY THERAPY INC.
Entity Type:Organization
Organization Name:ERIKA BEHNKE, MARRIAGE & FAMILY THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEHNKE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:323-251-1438
Mailing Address - Street 1:28605 TAMARACK LN
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91390-4217
Mailing Address - Country:US
Mailing Address - Phone:661-388-5737
Mailing Address - Fax:
Practice Address - Street 1:28605 TAMARACK LN
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91390-4217
Practice Address - Country:US
Practice Address - Phone:661-388-5737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health