Healthcare Provider Details

I. General information

NPI: 1073424917
Provider Name (Legal Business Name): HONEST WORK MARRIAGE AND FAMILY THERAPY, A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3210 DE WITT DR STE A
LOS ANGELES CA
90068-1422
US

IV. Provider business mailing address

3210 DE WITT DR STE A
LOS ANGELES CA
90068-1422
US

V. Phone/Fax

Practice location:
  • Phone: 323-609-8863
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ROBERT LEE
Title or Position: OWNER, FOUNDER
Credential:
Phone: 323-244-0371