Healthcare Provider Details

I. General information

NPI: 1336086552
Provider Name (Legal Business Name): CENTER FOR HEALTHY MARRIAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CORPORATE POINTE STE 300
CULVER CITY CA
90230-7620
US

IV. Provider business mailing address

2001 TIMBERLOCH PL STE 500
THE WOODLANDS TX
77380-1375
US

V. Phone/Fax

Practice location:
  • Phone: 888-311-8891
  • Fax: 310-564-2481
Mailing address:
  • Phone: 888-311-8891
  • Fax: 310-564-2481

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: KONGIT SACK
Title or Position: CEO
Credential:
Phone: 888-311-8891