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General NPI Number Information
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NPI Number | 1881533743
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Entity Type | Organization
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Legal Business Name | SMILACK CENTER FOR INDIVIDUAL AND FAMILY THERAPY INC
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 270 26TH ST STE 205
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City | SANTA MONICA
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State | CA
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Zip | 90402-2543
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Country | US
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Telephone | 310-869-1533
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Fax |
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Provider Business Mailing Address
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Address Line | 2801 OCEAN PARK BLVD # 1137
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City | SANTA MONICA
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State | CA
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Zip | 90405-2905
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Country | US
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Telephone | 310-869-1533
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EVELINE SMILACK
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Credential | LMFT
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Telephone | 310-869-1533
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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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