Healthcare Provider Details

I. General information

NPI: 1538080619
Provider Name (Legal Business Name): INTENTIONAL AND COMPASSIONATE FAMILY THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 S EUCLID AVE APT 4
PASADENA CA
91101-3159
US

IV. Provider business mailing address

410 S EUCLID AVE APT 4
PASADENA CA
91101-3159
US

V. Phone/Fax

Practice location:
  • Phone: 310-853-0764
  • Fax: 213-726-0505
Mailing address:
  • Phone: 310-853-0764
  • Fax: 213-726-0505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: BRIAN SPIEGEL
Title or Position: OWNER/OPERATOR
Credential: LMFT
Phone: 310-853-0764