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PSYCHOLOGICAL CARE AND HEALING TREATMENT CENTER NPI 1003135906


NPI Information

NPI: 1003135906
Provider Name: PSYCHOLOGICAL CARE AND HEALING TREATMENT CENTER

Other Name: PCH TREATMENT

Classification: Psychologist - 103TP2701X
Entity Type: Organization

Specialization: Group Psychotherapy

CLIA Number: 05D2151379

Address:
11965 VENICE BLVD
SUITE 407
LOS ANGELES, CA
ZIP 90066
Phone: (310) 566-7625
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PSYCHOLOGICAL CARE AND HEALING TREATMENT CENTER is a group psychotherapy psychologist in Los Angeles, CA. The provider is a psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings. PSYCHOLOGICAL CARE AND HEALING TREATMENT CENTER NPI is 1003135906. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Pch Treatment.

The provider's business location address is:

11965 VENICE BLVD
SUITE 407
LOS ANGELES, CA
ZIP 90066-979
Phone: (310) 566-7625
Fax: (310) 566-7629

The provider's authorized official is Jeffery Ball .
The authorized official title is Executive And Clinical Director and has the following contact phone number (310) 571-8040.

The CLIA number assigned to this NPI record is 05D2151379 - other - urine analysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2010 and was last updated on 5/18/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TP2701XPsychologistGroup PsychotherapyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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