Healthcare Provider Details

I. General information

NPI: 1023904075
Provider Name (Legal Business Name): HADLEY HUDSON VISIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2812 SANTA MONICA BLVD STE 200
SANTA MONICA CA
90404-2432
US

IV. Provider business mailing address

2812 SANTA MONICA BLVD STE 200
SANTA MONICA CA
90404-2432
US

V. Phone/Fax

Practice location:
  • Phone: 213-536-7173
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State

VIII. Authorized Official

Name: MS. HADLEY HUDSON
Title or Position: OWNER
Credential: LMFT
Phone: 213-536-7173