BREATHE FAMILY COUNSELING AND WELLNESS CENTER (NPI# 1093250995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093250995 |
Entity Type | Organization |
Organization Name | BREATHE FAMILY COUNSELING AND WELLNESS CENTER |
Practice Address |
2100 N Sepulveda Blvd Ste 31 Manhattan Beach CA 90266-2958 |
Practice Telephone | 3102514170 |
Mailing Telephone | 3102514170 |
Enumeration Date | 2016-12-31 |
Last Update Date | 2020-09-07 |
Authorized Official Name | PAIGE PARKER (PRESIDENT) |
Authorized Official Telephone | 3102514170 |
Authorized Official Credential | MFT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 106H00000X | Marriage & Family Therapist | 49375 | CA | Behavioral Health & Social Service Providers |
N | 106H00000X | Marriage & Family Therapist | 100740 | CA | Behavioral Health & Social Service Providers |
N | 106H00000X | Marriage & Family Therapist | 87566 | CA | Behavioral Health & Social Service Providers |
N | 106H00000X | Marriage & Family Therapist | 90365 | CA | Behavioral Health & Social Service Providers |
Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
Street Address |
2100 N SEPULVEDA BLVD STE 31 |
City | MANHATTAN BEACH |
State | CA |
Zip Code | 90266-2958 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528250636 | Paige G Parker | Marriage & Family Therapist | 2100 N Sepulveda Blvd Ste 31, Manhattan Beach, CA 90266-2958 | 2007-08-13 |
1831503986 | Julia Herrera | Marriage & Family Therapist | 2100 N Sepulveda Blvd Ste 31, Manhattan Beach, CA 90266-2958 | 2014-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770099756 | Tene Anderson | Massage Therapist | 500 S. Sepulveda Blvd, 207, Manhattan Beach, CA 90266 | 2017-12-28 |
1689035552 | Sean Limahelu | Physical Therapist | 400 S. Sepulveda Blvd. Suite 105, Manhattan Beach, CA 90266 | 2016-03-18 |
1609248053 | Nora Lillian Fong | General Practice | 425 15th St., Manhattan Beach, CA 90266 | 2015-10-26 |
1598182461 | Behavior and Education Inc | Day Training, Developmentally Disabled Services | 1888 Rosecrans Ave, Suite 2200, Manhattan Beach, CA 90266 | 2014-03-27 |
1538502406 | Cynara Conroy Allison | Marriage & Family Therapist | 1716 Manhattan Beach Blvd. #c, Manhattan Beach, CA 90266 | 2013-04-10 |
1598001919 | Cassandra Giornali Sorrell | Marriage & Family Therapist | 1050 Duncan Avenue, Suite K, Manhattan Beach, CA 90266 | 2012-12-13 |
1669716056 | Maria Lynn Newson | Marriage & Family Therapist | 2007 Cedar Avenue, Manhattan Beach, CA 90266 | 2012-11-26 |
1407113376 | Mona-lisa Lind | Marriage & Family Therapist | 901 North Pacific Coast Hwy., Ste. 200a-204a, Redondo Beach, CA 90266 | 2012-04-17 |
1790063964 | Chad Chin Seng Heng | Anesthesiology | 400 S Sepulveda Blvd Ste 200, Manhattan Beach, CA 90266 | 2011-07-21 |
1417262908 | Jennifer V. Izzarelli | Nurse Practitioner | 111 North Sepulveda Boulevard, Suite 210, Manhattan Beach, CA 90266 | 2010-08-10 |
Find all providers in zip 90266 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255963476 | Laurel L Collins | Marriage & Family Therapist | 648 29th St, Manhattan Beach, CA 90266-2233 | 2020-02-05 |
1740745793 | Justin Yaros | Marriage & Family Therapist | 500 S Sepulveda Blvd Ste 204, Manhattan Beach, CA 90266-6976 | 2019-02-04 |
1053808428 | Jason Michael Brown | Marriage & Family Therapist | 2100 N Sepulveda Blvd Ste 25, Manhattan Beach, CA 90266-2957 | 2018-04-20 |
1730691510 | Kimberly Rose Hegg | Marriage & Family Therapist | 1500 Rosecrans Ave Ste 500, Manhattan Beach, CA 90266-3771 | 2017-11-01 |
1255842811 | Gerard Sobnosky | Marriage & Family Therapist | 1101 N Sepulveda Blvd Ste 202, Manhattan Beach, CA 90266-5963 | 2017-10-22 |
1609313600 | Megan Enge | Marriage & Family Therapist | 2100 N Sepulveda Blvd Ste 32, Manhattan Beach, CA 90266-2958 | 2017-01-27 |
1386018729 | Sara Sedlik Haynes | Marriage & Family Therapist | 2100 N Sepulveda Blvd Ste 23, Manhattan Beach, CA 90266-2957 | 2015-11-23 |
1669854758 | Kelly Anderson-bohlinger | Marriage & Family Therapist | 633 31st St, Manhattan Beach, CA 90266-3419 | 2015-06-24 |
1629455639 | Vicki Kraft | Marriage & Family Therapist | 2100 N Sepulveda Blvd Ste 35, Manhattan Beach, CA 90266-2958 | 2015-04-28 |
1588057095 | Amanda Cavan | Marriage & Family Therapist | 1050 Duncan Ave Ste K, Manhattan Beach, CA 90266-6752 | 2015-03-08 |
Find all providers in MANHATTAN BEACH |
City | MANHATTAN BEACH |
Zip Code | 90266 |
Please comment or provide details below to improve the information on BREATHE FAMILY COUNSELING AND WELLNESS CENTER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.