Provider Demographics
NPI:1770309544
Name:KOVACS LMFT INC
Entity type:Organization
Organization Name:KOVACS LMFT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:KOVACS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:626-319-2647
Mailing Address - Street 1:1065 BONITA AVE STE A
Mailing Address - Street 2:
Mailing Address - City:LA VERNE
Mailing Address - State:CA
Mailing Address - Zip Code:91750-5109
Mailing Address - Country:US
Mailing Address - Phone:626-319-2647
Mailing Address - Fax:
Practice Address - Street 1:1065 BONITA AVE STE A
Practice Address - Street 2:
Practice Address - City:LA VERNE
Practice Address - State:CA
Practice Address - Zip Code:91750-5109
Practice Address - Country:US
Practice Address - Phone:626-319-2647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty