Healthcare Provider Details
I. General information
NPI: 1851220230
Provider Name (Legal Business Name): ASEEDTOGROW EDUCATIONAL AND FAMILY PSYCHOTHERAPY INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8075 W 3RD ST STE 306
LOS ANGELES CA
90048-4334
US
IV. Provider business mailing address
8075 W 3RD ST STE 306
LOS ANGELES CA
90048-4334
US
V. Phone/Fax
- Phone: 310-994-2008
- Fax:
- Phone: 310-994-2008
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JUNNEL
TOMISTA
THOMPSON
Title or Position: PRESIDENT
Credential: MS, MA, LMFT
Phone: 310-994-2008