Healthcare Provider Details

I. General information

NPI: 1356085476
Provider Name (Legal Business Name): HOPE HEALS MARRIAGE AND FAMILY THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2022
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 S VICTORY BLVD STE 206
BURBANK CA
91502-2793
US

IV. Provider business mailing address

1201 S VICTORY BLVD STE 206
BURBANK CA
91502-2793
US

V. Phone/Fax

Practice location:
  • Phone: 818-641-8670
  • Fax:
Mailing address:
  • Phone: 818-641-8670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: WENDY COLOMA
Title or Position: PRESIDENT
Credential: MA
Phone: 818-641-8670