Healthcare Provider Details
I. General information
NPI: 1295678217
Provider Name (Legal Business Name): NEW PATHWAYS LICENSED MARRIAGE AND FAMILY THERAPY PROF. CORP.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16257 MARILYN DR
GRANADA HILLS CA
91344-3038
US
IV. Provider business mailing address
16257 MARILYN DR
GRANADA HILLS CA
91344-3038
US
V. Phone/Fax
- Phone: 818-967-7127
- Fax:
- Phone: 818-967-7127
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LELEYA
KHACHIKYAN
MALYAN
Title or Position: CEO
Credential: LMFT
Phone: 818-967-7127