IM POSSIBLE YOUTH FOUNDATION NPI 1093052565

NPI Information

  • NPI: 1093052565
  • Provider Name: IM POSSIBLE YOUTH FOUNDATION
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Organization
  • Address: 11011 CRENSHAW BLVD
    SUITE 203
    INGLEWOOD, CA
    ZIP 90303
  • Phone: (310) 677-7080

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NPI Details

IM POSSIBLE YOUTH FOUNDATION is a marriage family therapist in Inglewood, CA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. IM POSSIBLE YOUTH FOUNDATION NPI is 1093052565. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11011 CRENSHAW BLVD
SUITE 203
INGLEWOOD, CA
ZIP 90303-330
Phone: (310) 677-7080
Fax: (866) 894-5431

The provider's authorized official is Millicent Shungu Mazauwaba .
The authorized official title is Cheif Executive Officer and has the following contact phone number (310) 677-7080.

The enumeration date for this NPI number is 1/3/2013 and was last updated on 1/3/2013.

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
1103T00000XPsychologistNo
21041C0700XSocial WorkerClinicalNo
3106H00000XMarriage & Family TherapistYes

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: 11/21/2025

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