Healthcare Provider Details

I. General information

NPI: 1104549179
Provider Name (Legal Business Name): LOVELY DAY FAMILY THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2022
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10801 NATIONAL BLVD STE 256
LOS ANGELES CA
90064-4178
US

IV. Provider business mailing address

10801 NATIONAL BLVD STE 256
LOS ANGELES CA
90064-4178
US

V. Phone/Fax

Practice location:
  • Phone: 909-701-7476
  • Fax:
Mailing address:
  • Phone: 909-701-7476
  • 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: SHIMEKA DIANN ARNOLD
Title or Position: CLINICAL THERAPIST
Credential: LMFT
Phone: 909-701-7476