Inner Child Therapy Corp

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

INNER CHILD THERAPY CORP

Practice address

7560 Corbin Ave Unit 5
Reseda, CA 91335-2425

Phone

(702) 239-7700

NPI assigned

Jun 18, 2024

Last updated

Jun 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mehdi Anthonty Owliaie, LMFTNPI 1073891214

Title

Owner

Phone

(702) 239-7700

Specialties & licenses 1

Addresses

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.

• Mehdi Anthony Owliaie

  • Marriage & Family Therapist
  • Reseda, CA
  • NPI 1073891214
  NPD Authorized official

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1558104208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7560 CORBIN AVE UNIT 5",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352425",
            "telephone_number": "702-239-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7560 CORBIN AVE UNIT 5",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352425",
            "telephone_number": "702-239-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER CHILD THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "OWLIAIE",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_middle_name": "ANTHONTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-239-7700",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Reseda, CA
• Providers in Reseda, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.