Healthcare Provider Details

I. General information

NPI: 1194651133
Provider Name (Legal Business Name): ALYNN CAULDWELL, FAMILY THERAPIST, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5855 E NAPLES PLZ STE 307
LONG BEACH CA
90803-5091
US

IV. Provider business mailing address

5855 E NAPLES PLZ STE 307
LONG BEACH CA
90803-5091
US

V. Phone/Fax

Practice location:
  • Phone: 562-294-1772
  • Fax: 562-684-4533
Mailing address:
  • Phone: 562-294-1772
  • Fax: 562-684-4533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. ALYNN CAULDWELL
Title or Position: OWNER
Credential: LMFT
Phone: 562-294-1772