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General NPI Number Information
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NPI Number | 1528909645
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Entity Type | Organization
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Legal Business Name | THE FAMILY THERAPY COLLECTIVE, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 5101 E LA PALMA AVE STE 1011
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City | ANAHEIM
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State | CA
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Zip | 92807-2042
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Country | US
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Telephone | 949-288-0097
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Fax |
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Provider Business Mailing Address
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Address Line | 3943 IRVINE BLVD # 1035
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City | IRVINE
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State | CA
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Zip | 92602-2400
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Country | US
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Telephone | 949-288-0097
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Fax |
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Authorized Official
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Title or Position | LICENSED MARRIAGE AND FAMILY THERAP
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Name | MRS. TAHIRA MITCEHLL
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Credential | LMFT
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Telephone | 949-288-0097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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