Healthcare Provider Details

I. General information

NPI: 1578491882
Provider Name (Legal Business Name): AD HARMONY OUTREACH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 E TUJUNGA AVE
BURBANK CA
91502-1929
US

IV. Provider business mailing address

15839 GAULT ST
VAN NUYS CA
91406-5152
US

V. Phone/Fax

Practice location:
  • Phone: 818-913-5404
  • Fax:
Mailing address:
  • Phone: 818-913-5404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. ALBERT POGHOSYAN
Title or Position: CEO
Credential: LMFT
Phone: 818-913-5404