Her Space Therapy, a Marriage and Family Corporation

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HER SPACE THERAPY, A MARRIAGE AND FAMILY CORPORATION

Doing business as

Her Space Therapy

Practice address

107 S Fair Oaks Ave Ste 310
Pasadena, CA 91105-2012

Phone

(626) 681-3283

NPI assigned

Apr 5, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cyla G Fisk, LMFTNPI 1801361944

Title

Owner

Phone

(626) 681-3283

Specialties & licenses 1

Addresses

Other names 1

• Her Space Therapy Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cyla Fisk, MA

  • Marriage & Family Therapist
  • Pasadena, CA
  • NPI 1801361944
  NPD Authorized official
• E Lyla James Connolly, APCC

  • Mental Health Counselor
  • Pasadena, CA
  • NPI 1922847862
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1023861572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 LAS FLORES AVE",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S FAIR OAKS AVE STE 310",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052012",
            "telephone_number": "626-681-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HER SPACE THERAPY, A MARRIAGE AND FAMILY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "FISK",
        "authorized_official_first_name": "CYLA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-681-3283",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Her Space Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Skylar Madison Henry
• Stephen Douglas Henry, M.D.
• Stefan Henschke
• Aaron M Henson
• Hep Enterprises Inc
• Choua Her
• Winter Her
• Adam Michael Herbert
• Megan Ruth Herek
• Heritage Clinic and the Community Assistance Program for Seniors

• Mental Health Clinic/Center (Including Community Mental Health Center) in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.