Healthcare Provider Details

I. General information

NPI: 1619893674
Provider Name (Legal Business Name): SHAYNA HARVEY MARRIAGE & FAMILY THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

569 ALBERTA ST
ALTADENA CA
91001-5471
US

IV. Provider business mailing address

569 ALBERTA ST
ALTADENA CA
91001-5471
US

V. Phone/Fax

Practice location:
  • Phone: 323-455-4809
  • Fax:
Mailing address:
  • Phone: 323-455-4809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHAYNA HARVEY
Title or Position: LICENSED MARRIAGE & FAMILY THERAPIS
Credential: MA, LMFT
Phone: 323-455-4809