=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376468892
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | POWER WORD: HEAL, A PROFESSIONAL MARRIAGE AND FAMILY THERAPIST CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/12/2026
-----------------------------------------------------
Last Update Date | 08/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 784 GARDENIA AVE APT 6
-----------------------------------------------------
City | LONG BEACH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90813
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-501-4688
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3515 ATLANTIC AVE # 1096
-----------------------------------------------------
City | LONG BEACH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90807-4515
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-501-4688
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JOSHUA LEVITT
-----------------------------------------------------
Credential | LMFT
-----------------------------------------------------
Telephone | 562-501-4688
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------