Healthcare Provider Details

I. General information

NPI: 1952229874
Provider Name (Legal Business Name): LA THERAPY ALLIANCE, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 SUNBURY DR
ALISO VIEJO CA
92656-5223
US

IV. Provider business mailing address

530 S LAKE AVE # 955
PASADENA CA
91101-3515
US

V. Phone/Fax

Practice location:
  • Phone: 310-351-1632
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MOLLY ORCHARD
Title or Position: CEO
Credential: LSCSW
Phone: 310-351-1632