Healthcare Provider Details

I. General information

NPI: 1962257527
Provider Name (Legal Business Name): THU ANH VO LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2024
Last Update Date: 09/13/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 N CENTRAL AVE STE 340
GLENDALE CA
91203-4238
US

IV. Provider business mailing address

700 N CENTRAL AVE STE 340
GLENDALE CA
91203-4238
US

V. Phone/Fax

Practice location:
  • Phone: 818-649-2921
  • Fax:
Mailing address:
  • Phone: 818-649-2921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number153454
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: