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NPI Code Detail

MEDICARE: COLIBRI FAMILY & HEALING THERAPY INC.

MEDICARE: COLIBRI FAMILY & HEALING 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 : 1639875164
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLIBRI FAMILY & HEALING THERAPY INC.
Provider Business Mailing Address
First Line : 320 PINE AVE STE 514
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-2309
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 320 PINE AVE STE 514
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-2309
Country : US
Telephone Number : 661-400-2609
Fax Number :
Authorized Official
Title or Position : VICEPRESIDENT
Name : ELIZABETH GONZALEZ MORALES
Credential : LMFT
Telephone Number : 661-400-2609
Provider Enumeration Date : 02/06/2023
Last Update Date : 02/06/2023

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Directions to “COLIBRI FAMILY & HEALING THERAPY INC. ” Practice Location

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