Healthcare Provider Details
I. General information
NPI: 1821412594
Provider Name (Legal Business Name): TALIN DANACI M.S., LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/14/2014
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3031 S VERMONT AVE
LOS ANGELES CA
90007-3033
US
IV. Provider business mailing address
10159 MOUNTAIR AVE
TUJUNGA CA
91042-2223
US
V. Phone/Fax
- Phone: 323-766-2345
- Fax:
- Phone: 818-259-7007
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | 99601 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | 251S00000X |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: