Organization Active NPI

Mindful Life Therapy - Child Adult and Family Counseling Inc

  • Marriage & Family Therapist
  • Torrance, CA
National Provider Identifier
1033864210
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MINDFUL LIFE THERAPY - CHILD ADULT AND FAMILY COUNSELING INC
Practice address
18411 Crenshaw Blvd Ste 432
Torrance, CA 90504-5042
Phone
(657) 204-4513
NPI assigned
Feb 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Mrs. Angelica Galvan-NavaNPI 1497917090
Title
Director
Phone
(657) 204-4513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

18411 Crenshaw Blvd Ste 432
Torrance, CA 90504-5042

Mailing address

PO Box 446
Redondo Beach, CA 90277-0446

National Provider Directory

National Provider Directory

Locations

18411 Crenshaw Blvd
Ste 432
Torrance, CA 90504
Phone (310) 750-7448

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1033864210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902770446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18411 CRENSHAW BLVD STE 432",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045042",
            "telephone_number": "657-204-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL LIFE THERAPY - CHILD ADULT AND FAMILY COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "GALVAN-NAVA",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "657-204-4513",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.