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General NPI Number Information
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NPI Number | 1659861052
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Entity Type | Organization
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Legal Business Name | CENTER FOR HEALTHY AND HAPPY LIVING
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Dates
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Enumeration Date | 05/11/2018
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Last Update Date | 05/11/2018
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Provider Practice Location Address
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Address Line | 15233 VENTURA BLVD STE 1208
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2271
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Country | US
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Telephone | 424-274-2256
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 17144
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City | ENCINO
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State | CA
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Zip | 91416-7144
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LMFT
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Name | ELIKA KORMEILI
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Credential | LMFT
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Telephone | 424-274-2256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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