Healthcare Provider Details

I. General information

NPI: 1609797836
Provider Name (Legal Business Name): LOS FELIZ THERAPY COLLECTIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 HILLHURST AVE FL 2
LOS ANGELES CA
90027-2712
US

IV. Provider business mailing address

1910 HILLHURST AVE FL 2
LOS ANGELES CA
90027-2712
US

V. Phone/Fax

Practice location:
  • Phone: 323-609-3142
  • Fax:
Mailing address:
  • Phone: 323-609-3142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MARGOT AGOSTINI COGGINS
Title or Position: PRESIDENT
Credential: LMFT
Phone: 607-227-1494