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My La Therapy
Adolescent and Children Mental Health Clinic/Center in Santa Monica, California
NPI 1124878574

My La Therapy is an Adolescent and Children Mental Health Clinic/Center based in Santa Monica, CA and is specialized in Adolescent and Children Mental Health. My La Therapy practices in Santa Monica, CA. The NPI Number for My La Therapy is 1124878574 and holds a License No. (California).

The current practice location address for My La Therapy is 130 Ocean Park Blvd Unit 232, Santa Monica, CA and can be reached out via phone at 949-295-0980.

Location: 130 Ocean Park Blvd Unit 232, Santa Monica, CA, 90405-3566
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124878574
Provider Name
My La Therapy
Credential
Provider Entity Type
Organization
Address
130 Ocean Park Blvd Unit 232, Santa Monica, CA, 90405-3566
Phone Number
949-295-0980
Fax Number
Provider Enumeration Date
03/26/2024
Last Update Date
04/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1568631141 01 CA NPI
institution
Provider Business Practice Location Address Details
Address
130 Ocean Park Blvd Unit 232
City
Santa Monica
State
California
Zip
90405-3566
Phone Number
949-295-0980
Fax Number
person
Provider Business Mailing Address Details
Address
130 Ocean Park Blvd Unit 232
City
Santa Monica
State
California
Zip
90405-3566
Phone Number
949-295-0980
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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