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NPI Code Detail

MEDICARE: ANNABELLE WIVIOTT MARRIAGE AND FAMILY THERAPY INC

MEDICARE: ANNABELLE WIVIOTT MARRIAGE AND FAMILY THERAPY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1255901971
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANNABELLE WIVIOTT MARRIAGE AND FAMILY THERAPY INC
Provider Business Mailing Address
First Line : 5000 PARKWAY CALABASAS STE 107
Second Line :
City : CALABASAS
State : CA
Zip : 91302-3905
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 875 S WESTLAKE BLVD STE 211
Second Line :
City : WESTLAKE VILLAGE
State : CA
Zip : 91361-2925
Country : US
Telephone Number : 805-449-4375
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ANNABELLE EVA WIVIOTT
Credential : LMFT
Telephone Number : 805-449-4375
Provider Enumeration Date : 06/25/2021
Last Update Date : 06/25/2021

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Directions to “ANNABELLE WIVIOTT MARRIAGE AND FAMILY THERAPY INC ” Practice Location

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