=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891472692
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PURSUIT TO WELLNESS CENTER MARRIAGE FAMILY THERAPY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/03/2023
-----------------------------------------------------
Last Update Date | 02/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6325 TOPANGA CANYON BLVD STE 225
-----------------------------------------------------
City | WOODLAND HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91367-2020
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 213-290-3847
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 451003
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90045-8509
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 213-290-3847
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EMPLOYEE
-----------------------------------------------------
Name | RUTH TYSON
-----------------------------------------------------
Credential | LMFT
-----------------------------------------------------
Telephone | 213-290-3847
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------