Healthcare Provider Details

I. General information

NPI: 1235852583
Provider Name (Legal Business Name): ASTRAEA THERAPY A MARRIAGE AND FAMILY THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2022
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1973 PASO REAL AVE
ROWLAND HEIGHTS CA
91748-3835
US

IV. Provider business mailing address

1973 PASO REAL AVE
ROWLAND HEIGHTS CA
91748-3835
US

V. Phone/Fax

Practice location:
  • Phone: 626-478-8010
  • Fax:
Mailing address:
  • Phone: 626-478-8010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PHU CONG LUU
Title or Position: CEO
Credential: LMFT
Phone: 626-478-8010