Healthcare Provider Details

I. General information

NPI: 1891472692
Provider Name (Legal Business Name): PURSUIT TO WELLNESS CENTER MARRIAGE FAMILY THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2023
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6325 TOPANGA CANYON BLVD STE 225
WOODLAND HILLS CA
91367-2020
US

IV. Provider business mailing address

PO BOX 451003
LOS ANGELES CA
90045-8509
US

V. Phone/Fax

Practice location:
  • Phone: 213-290-3847
  • Fax:
Mailing address:
  • Phone: 213-290-3847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: RUTH TYSON
Title or Position: EMPLOYEE
Credential: LMFT
Phone: 213-290-3847