Provider Demographics
NPI:1831841220
Name:MENTAL CARE TODAY MARRIAGE & FAMILY THERAPY INC.
Entity type:Organization
Organization Name:MENTAL CARE TODAY MARRIAGE & FAMILY THERAPY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:GER
Authorized Official - Middle Name:JAMIE
Authorized Official - Last Name:CHA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:818-770-0812
Mailing Address - Street 1:18034 VENTURA BLVD STE 185
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3516
Mailing Address - Country:US
Mailing Address - Phone:818-770-0812
Mailing Address - Fax:
Practice Address - Street 1:18344 OXNARD ST # 214
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-1554
Practice Address - Country:US
Practice Address - Phone:818-770-0812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-26
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)