Sam Polansky Family Therapy INC.
Marriage & Family Therapist in Manhattan Beach, CA. Organization (NPI-2).
NPI number1104622166
StatusActive
Last updated in NPPESFeb 20, 2025
Details
- NPI
- 1104622166
- Entity type
- Organization (NPI-2)
- Legal business name
- Sam Polansky Family Therapy INC.
- Organization subpart
- No
- Enumeration date
- Feb 20, 2025
- Certification date
- Feb 20, 2025
- Last updated
- Feb 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | – | – | Yes |
Practice location
623 Aviation Way Apt BManhattan Beach, CA 90266-7164
Phone 818-439-4301
Mailing address
623 Aviation Way Apt BManhattan Beach, CA 90266-7164
Phone 818-439-4301
Authorized official
Samantha Elizabeth Polansky
Ceo
8184394301
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