Healthcare Provider Details

I. General information

NPI: 1205750502
Provider Name (Legal Business Name): ABIDE MARRIAGE AND FAMILY COUNSELING COLLECTIVE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3625 E THOUSAND OAKS BLVD STE 281
WESTLAKE VILLAGE CA
91362-3580
US

IV. Provider business mailing address

3625 E THOUSAND OAKS BLVD STE 281
WESTLAKE VILLAGE CA
91362-3580
US

V. Phone/Fax

Practice location:
  • Phone: 661-505-5975
  • Fax:
Mailing address:
  • Phone: 661-505-5975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: ADAM JELLOIAN
Title or Position: CFO
Credential:
Phone: 661-505-5975