NPI Code Details Logo

NPI 1295688075

NPI 1295688075 : INNER SPACE FAMILY THERAPY : LOS ANGELES, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1295688075
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    INNER SPACE FAMILY THERAPY 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/19/2026
-----------------------------------------------------
    Last Update Date     |    02/19/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3718 MOUNTAIN VIEW AVE 
-----------------------------------------------------
    City                 |    LOS ANGELES
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90066-3112
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    424-213-8113
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    76 SADDLEBACK RD 
-----------------------------------------------------
    City                 |    ROLLING HILLS
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    90274-5166
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    424-422-7891
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MARRIAGE AND FAMILY THERAPIST/OWNER
-----------------------------------------------------
    Name                 |     CRISTINA NOELLE SCHWARZ 
-----------------------------------------------------
    Credential           |    LMFT
-----------------------------------------------------
    Telephone            |    424-213-8113
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    106H00000X
-----------------------------------------------------
    Taxonomy Name        |    Marriage & Family Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.