Healthcare Provider Details

I. General information

NPI: 1073948535
Provider Name (Legal Business Name): GARLAND GUILLORY PHD, MA, MFT, CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: GARLAND GERBER PHD, MA, MFT, CADC

II. Dates (important events)

Enumeration Date: 09/03/2013
Last Update Date: 03/22/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8025 ALVERSTONE AVE
LOS ANGELES CA
90045-1436
US

IV. Provider business mailing address

8025 ALVERSTONE AVE
LOS ANGELES CA
90045-1436
US

V. Phone/Fax

Practice location:
  • Phone: 310-855-4090
  • Fax:
Mailing address:
  • Phone: 310-855-4090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License NumberPHD
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number130138
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberA057130520
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: