Healthcare Provider Details

I. General information

NPI: 1225941487
Provider Name (Legal Business Name): KIRA BARTHOLOMEW FAMILY THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 COLORADO BLVD STE 102
LOS ANGELES CA
90041-1733
US

IV. Provider business mailing address

850 COLORADO BLVD STE 102
LOS ANGELES CA
90041-1733
US

V. Phone/Fax

Practice location:
  • Phone: 626-214-8473
  • Fax:
Mailing address:
  • Phone: 626-214-8473
  • 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: KIRA BARTHOLOMEW
Title or Position: MARRIAGE AND FAMILY THERAPIST
Credential: LMFT
Phone: 626-214-8473