Active NPI
Julie Andersen LMFT Inc
Doing business as Soul Vision Healing Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Long Beach, CA
National Provider Identifier
1154008530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- JULIE ANDERSEN LMFT INC
- Doing business as
- Soul Vision Healing Center
- Practice address
- 4645 E Anaheim St
Long Beach, CA 90804-3122 - Phone
- (562) 682-5556
- NPI assigned
- Jun 28, 2023
- Last updated
- Jun 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Andersen, LMFT
- Title
- Owner/President
- Phone
- (562) 682-5556
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
4645 E Anaheim St
Long Beach, CA 90804-3122
Mailing address
4645 E Anaheim St
Long Beach, CA 90804-3122
Phone (562) 682-5556
Other names 1
- Soul Vision Healing Center
National Provider Directory
National Provider DirectoryLocations
4645 E Anaheim St
Long Beach, CA 90804
Phone (562) 365-2020
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Long Beach, CA
- NPI 1023310109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687910400000",
"number": "1154008530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4645 E ANAHEIM ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908043122",
"telephone_number": "562-682-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4645 E ANAHEIM ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908043122",
"telephone_number": "562-682-5556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JULIE ANDERSEN LMFT INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-28",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A",
"authorized_official_last_name": "ANDERSEN",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "562-682-5556",
"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": "Soul Vision Healing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.