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General NPI Number Information
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NPI Number | 1114716065
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Entity Type | Organization
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Legal Business Name | CONNECTIONS PSYCHOANALYSIS AND PSYCHOTHERAPY
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 4035 E THOUSAND OAKS BLVD STE 210
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-7239
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Country | US
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Telephone | 818-671-9156
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 93
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City | SUN VALLEY
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State | CA
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Zip | 91353-0093
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Country | US
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Telephone | 818-671-9156
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMON BENAVIDES
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Credential | PDH LMFT
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Telephone | 818-351-6713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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