Healthcare Provider Details

I. General information

NPI: 1447169370
Provider Name (Legal Business Name): THE THERAPIST DEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2380 SHASTA WAY STE C
SIMI VALLEY CA
93065-1858
US

IV. Provider business mailing address

1014 S WESTLAKE BLVD STE 14-362
WESTLAKE VILLAGE CA
91361-3108
US

V. Phone/Fax

Practice location:
  • Phone: 717-527-6274
  • Fax:
Mailing address:
  • Phone: 717-527-6274
  • Fax: 805-285-0545

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: YASHICA W BUDDE
Title or Position: CLINICIAN
Credential: LMFT
Phone: 717-527-6274