Healthcare Provider Details

I. General information

NPI: 1235972308
Provider Name (Legal Business Name): HOPE MATTERS MARRIAGE AND FAMILY THERAPY INSTITUTE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2024
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 E COLORADO BLVD STE 600
PASADENA CA
91105-3712
US

IV. Provider business mailing address

117 E COLORADO BLVD STE 600
PASADENA CA
91105-3712
US

V. Phone/Fax

Practice location:
  • Phone: 626-249-3358
  • Fax:
Mailing address:
  • Phone: 626-249-3358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN M CHILDS
Title or Position: COO
Credential:
Phone: 626-249-3358