Healthcare Provider Details

I. General information

NPI: 1700475183
Provider Name (Legal Business Name): ERIKA BEHNKE, MARRIAGE & FAMILY THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2021
Last Update Date: 01/11/2021
Certification Date: 01/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28605 TAMARACK LN
SANTA CLARITA CA
91390-4217
US

IV. Provider business mailing address

28605 TAMARACK LN
SANTA CLARITA CA
91390-4217
US

V. Phone/Fax

Practice location:
  • Phone: 661-388-5737
  • Fax:
Mailing address:
  • Phone: 661-388-5737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIKA BEHNKE
Title or Position: OWNER
Credential: LMFT
Phone: 323-251-1438