Healthcare Provider Details

I. General information

NPI: 1396676151
Provider Name (Legal Business Name): FELICIA CHAVEZ INTEGRATIVE THERAPY AND FAMILY SOLUTIONS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1317 S WHITEMARSH AVE
COMPTON CA
90220-4528
US

IV. Provider business mailing address

1317 S WHITEMARSH AVE
COMPTON CA
90220-4528
US

V. Phone/Fax

Practice location:
  • Phone: 310-704-9610
  • Fax:
Mailing address:
  • Phone: 310-704-9610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: FELICIA N CHAVEZ
Title or Position: LMFT
Credential:
Phone: 310-704-9610