Thrive Fearlessly Counseling
Clinic/Center, Mental Health (Including Community Mental Health Center) in Tarzana, CA. Organization (NPI-2).
NPI number1003673377
StatusActive
Last updated in NPPESMar 4, 2024
Details
- NPI
- 1003673377
- Entity type
- Organization (NPI-2)
- Legal business name
- Thrive Fearlessly Counseling
- Organization subpart
- No
- Enumeration date
- Mar 4, 2024
- Certification date
- Mar 4, 2024
- Last updated
- Mar 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
5700 Etiwanda Ave Unit 240Tarzana, CA 91356-2543
Phone 626-469-1003
Mailing address
5700 Etiwanda Ave Unit 240Tarzana, CA 91356-2543
Authorized official
Jenna Tennyson
Cred
6264691003
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