Hollywood Family Therapy, Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

47482 Issued in CA

Legal business name

HOLLYWOOD FAMILY THERAPY, INC

Doing business as

Hollywood Therapy

Practice address

3111 Los Feliz Blvd Ste 106
Los Angeles, CA 90039-1599

Phone

(323) 741-0044

NPI assigned

Jun 13, 2018

Last updated

Jun 13, 2018By 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

Ms. Shannon Lee, LMFTNPI 1760514939

Title

Executive Director

Phone

(323) 741-0044

Specialties & licenses 1

Addresses

Other names 1

• Hollywood Therapy Doing business as

Locations

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.

• Shannon Lee, L.M.F.T

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1760514939
  NPD (past) Authorized official

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1871086983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 LOS FELIZ BLVD STE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391599",
            "telephone_number": "323-741-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 LOS FELIZ BLVD STE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391599",
            "telephone_number": "323-741-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD FAMILY THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-741-0044",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "47482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollywood Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hollywood Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hollywood Emergency Physicians
• Hollywood Energy Medicine Inc
• Hollywood Family Clinic Inc
• Hollywood Family Therapy
• Hollywood Family Therapy Group, Inc (Hollywood Therapy)
• Hollywood Hands Rehabilitation Inc
• Hollywood Health Center
• Hollywood Health Physical Therapy
• Hollywood Healthcare & Diagnostic Imaging
• Hollywood Heart and Vascular Group, a Medical Corporation

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, 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 13, 2018; 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.