Healthcare Provider Details

I. General information

NPI: 1649196452
Provider Name (Legal Business Name): LA THERAPISTS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 S MARENGO AVE
PASADENA CA
91101-3113
US

IV. Provider business mailing address

11041 SANTA MONICA BLVD
LOS ANGELES CA
90025-3523
US

V. Phone/Fax

Practice location:
  • Phone: 310-985-3529
  • Fax:
Mailing address:
  • Phone: 310-985-3529
  • Fax:

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: JOELLE MOLLOY
Title or Position: PRESIDENT
Credential: LMFT
Phone: 310-985-3529