Healthcare Provider Details
I. General information
NPI: 1700640851
Provider Name (Legal Business Name): ALIGNED CARE INDIVIDUAL AND FAMILY THERAPY, APC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/09/2024
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17609 VENTURA BLVD STE 302
ENCINO CA
91316-5128
US
IV. Provider business mailing address
17609 VENTURA BLVD STE 302
ENCINO CA
91316-5128
US
V. Phone/Fax
- Phone: 818-389-9531
- Fax:
- Phone: 818-389-9531
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
ROBYN
CARUSO
Title or Position: CEO
Credential: LMFT
Phone: 181-838-9953