Healthcare Provider Details

I. General information

NPI: 1235842923
Provider Name (Legal Business Name): NMA MARRIAGE AND FAMILY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2022
Last Update Date: 12/28/2022
Certification Date: 12/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5619 N FIGUEROA ST APT 228
LOS ANGELES CA
90042-4979
US

IV. Provider business mailing address

5619 N FIGUEROA ST APT 228
LOS ANGELES CA
90042-4979
US

V. Phone/Fax

Practice location:
  • Phone: 626-383-0240
  • Fax:
Mailing address:
  • Phone: 626-383-0240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: NADIA ALVAREZ
Title or Position: PRESIDENT
Credential: LMFT
Phone: 626-383-0240