Advantage Counseling Services, a Marriage & Family Therapy Corporation

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 44813 Issued in CA

Legal business name

ADVANTAGE COUNSELING SERVICES, A MARRIAGE & FAMILY THERAPY CORPORATION

Practice address

6205 Laurel Canyon Blvd
North Hollywood, CA 91606-3210

Phone

(818) 763-6616

Fax

(818) 508-5540

NPI assigned

Jul 18, 2012

Last updated

Jul 18, 2012By 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

Shekiba Qudrat, M.A.

Title

President

Phone

(818) 763-6615

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1730434499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 LAUREL CANYON BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063210",
            "telephone_number": "818-763-6616",
            "fax_number": "818-508-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 LAUREL CANYON BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063210",
            "telephone_number": "818-763-6616",
            "fax_number": "818-508-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE COUNSELING SERVICES, A MARRIAGE & FAMILY THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "QUDRAT",
        "authorized_official_first_name": "SHEKIBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-763-6615",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 44813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in North Hollywood, CA
• Providers in North Hollywood, 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 Jul 18, 2012; 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.