MEDICARE: DEMIAN THERAPY COLLECTIVE, A MARRIAGE AND FAMILY THERAPY CORP.

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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1376495382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEMIAN THERAPY COLLECTIVE, A MARRIAGE AND FAMILY THERAPY CORP.

Provider Business Mailing Address
First Line	:	13101 W WASHINGTON BLVD STE 425
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-5172
Country	:	US
Telephone Number	:	310-384-6132
Fax Number	:

Provider Business Practice Location Address
First Line	:	13101 W WASHINGTON BLVD STE 425
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-5172
Country	:	US
Telephone Number	:	310-384-6132
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MONICA DEMIAN
Credential	:	LMFT
Telephone Number	:	310-384-6132

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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