Healthcare Provider Details
I. General information
NPI: 1801743349
Provider Name (Legal Business Name): MOJI FAMILY THERAPY PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/13/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1221 N KINGS RD APT 203
WEST HOLLYWOOD CA
90069-2820
US
IV. Provider business mailing address
1221 N KINGS RD APT 203
WEST HOLLYWOOD CA
90069-2820
US
V. Phone/Fax
- Phone: 302-530-9556
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ZAHRA
ADLOO
Title or Position: FOUNDER
Credential:
Phone: 302-530-9556