=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063395481
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COUPLES HEALING CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/31/2025
-----------------------------------------------------
Last Update Date | 07/31/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3711 LONG BEACH BLVD # 4007
-----------------------------------------------------
City | LONG BEACH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90807-3315
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-353-5335
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3685 MOTOR AVE STE 220
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90034-5746
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-353-5335
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FOUNDER
-----------------------------------------------------
Name | LIZ WEE
-----------------------------------------------------
Credential | LMFT
-----------------------------------------------------
Telephone | 562-353-5335
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------