Healthcare Provider Details

I. General information

NPI: 1841113644
Provider Name (Legal Business Name): JENNIFER TAPIA MARRIAGE AND FAMILY THERAPIST A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3808 W RIVERSIDE DR STE 503
BURBANK CA
91505-5301
US

IV. Provider business mailing address

3808 W RIVERSIDE DR STE 503
BURBANK CA
91505-5301
US

V. Phone/Fax

Practice location:
  • Phone: 818-809-3498
  • Fax:
Mailing address:
  • Phone:
  • 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: JENNIFER KRISTIN TAPIA
Title or Position: CEO/THERAPIST
Credential: MS-LMFT
Phone: 818-809-3498