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NPI Code Detail

MEDICARE: STRONG MINDS AND KIND HEARTS MARRIAGE AND FAMILY THERAPY INC

MEDICARE: STRONG MINDS AND KIND HEARTS MARRIAGE AND FAMILY THERAPY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1215735485
Entity Type Code : Organization
Provider Name (Legal Business Name) : STRONG MINDS AND KIND HEARTS MARRIAGE AND FAMILY THERAPY INC
Provider Business Mailing Address
First Line : 1234 5TH AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90019-3445
Country : US
Telephone Number : 323-316-7804
Fax Number :
Provider Business Practice Location Address
First Line : 925 N LA BREA AVE
Second Line :
City : WEST HOLLYWOOD
State : CA
Zip : 90038-3161
Country : US
Telephone Number : 323-316-7804
Fax Number :
Authorized Official
Title or Position : LMFT
Name : MS. MELISSA RODRIGUEZ
Credential :
Telephone Number : 323-316-7804
Provider Enumeration Date : 03/04/2025
Last Update Date : 03/10/2025

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Directions to “STRONG MINDS AND KIND HEARTS MARRIAGE AND FAMILY THERAPY INC ” Practice Location

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