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NPI 1356085476

NPI 1356085476 : HOPE HEALS MARRIAGE AND FAMILY THERAPY INC : BURBANK, CA

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General NPI Number Information
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    NPI Number           |    1356085476
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOPE HEALS MARRIAGE AND FAMILY THERAPY INC 
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Dates
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    Enumeration Date     |    04/25/2022
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    Last Update Date     |    12/11/2025
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Provider Practice Location Address
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    Address Line         |    1201 S VICTORY BLVD STE 206 
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    City                 |    BURBANK
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    State                |    CA
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    Zip                  |    91502-2793
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    Country              |    US
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    Telephone            |    818-641-8670
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1201 S VICTORY BLVD STE 206 
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    City                 |    BURBANK
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    State                |    CA
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    Zip                  |    91502-2793
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    Country              |    US
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    Telephone            |    818-641-8670
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     WENDY  COLOMA 
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    Credential           |    MA
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    Telephone            |    818-641-8670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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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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