Healthcare Provider Details
I. General information
NPI: 1548789084
Provider Name (Legal Business Name): ARLENE HOVSEPIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/15/2017
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6736 LAUREL CANYON BLVD STE 200
NORTH HOLLYWOOD CA
91606
US
IV. Provider business mailing address
16718 NICKLAUS DR UNIT 60
RANCHO CASCADES CA
91342-1675
US
V. Phone/Fax
- Phone: 818-755-8786
- Fax: 818-824-9996
- Phone: 818-303-6451
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 84016 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 104836 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: