MEDICARE: CENTER FOR HOPE AND HEALING

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
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1457406381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR HOPE AND HEALING

Provider Business Mailing Address
First Line	:	3685 MOTOR AVENUE
Second Line	:	#240
City	:	LOS ANGELES
State	:	CA
Zip	:	90034
Country	:	US
Telephone Number	:	800-632-4194
Fax Number	:	800-632-4194

Provider Business Practice Location Address
First Line	:	3685 MOTOR AVENUE
Second Line	:	#240
City	:	LOS ANGELES
State	:	CA
Zip	:	90034
Country	:	US
Telephone Number	:	800-632-4194
Fax Number	:	800-632-4194

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	ELANA CHRISTIANSEN
Credential	:	MFTI
Telephone Number	:	800-632-4194

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	10/12/2011

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Directions to “CENTER FOR HOPE AND HEALING ” Practice Location

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