Healthcare Provider Details

I. General information

NPI: 1609743327
Provider Name (Legal Business Name): MSS THERAPEUTIC CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16255 VENTURA BLVD STE 509
ENCINO CA
91436-2310
US

IV. Provider business mailing address

PO BOX 10365
GLENDALE CA
91209-3365
US

V. Phone/Fax

Practice location:
  • Phone: 855-853-2300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JACQUES DARAKJIAN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 818-244-2677