MEDICARE: MARRIAGE AND FAMILY THERAPY WITH CIARA 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
1	1041C0700X	Clinical Social Worker
2	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1528937125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARRIAGE AND FAMILY THERAPY WITH CIARA INC

Provider Business Mailing Address
First Line	:	232 E. 2ND ST. UNIT A#8141
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-4541
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2904 W SUNSET BLVD STE 3
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-7308
Country	:	US
Telephone Number	:	310-571-8807
Fax Number	:

Authorized Official
Title or Position	:	OWNER, CEO
Name	:	CIARA BOGDANOVIC
Credential	:	LMFT
Telephone Number	:	310-571-8807

Provider Enumeration Date	:	11/03/2025
Last Update Date	:	05/07/2026

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