Healthcare Provider Details

I. General information

NPI: 1568388395
Provider Name (Legal Business Name): TERRI L. ASANOVICH, M.F.T.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15840 VENTURA BLVD STE 306
ENCINO CA
91436-4759
US

IV. Provider business mailing address

15840 VENTURA BLVD STE 306
ENCINO CA
91436-4759
US

V. Phone/Fax

Practice location:
  • Phone: 818-906-3734
  • Fax: 818-990-5143
Mailing address:
  • Phone: 818-906-3734
  • Fax: 818-990-5143

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: TERRI ASANOVICH
Title or Position: PRESIDENT
Credential: LMFT
Phone: 818-906-3734