Healthcare Provider Details

I. General information

NPI: 1376468892
Provider Name (Legal Business Name): POWER WORD: HEAL, A PROFESSIONAL MARRIAGE AND FAMILY THERAPIST CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

784 GARDENIA AVE APT 6
LONG BEACH CA
90813
US

IV. Provider business mailing address

3515 ATLANTIC AVE # 1096
LONG BEACH CA
90807-4515
US

V. Phone/Fax

Practice location:
  • Phone: 562-501-4688
  • Fax:
Mailing address:
  • Phone: 562-501-4688
  • Fax:

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: JOSHUA LEVITT
Title or Position: OWNER
Credential: LMFT
Phone: 562-501-4688