Provider Demographics
NPI:1104315621
Name:THE ED ASNER FAMILY CENTER
Entity type:Organization
Organization Name:THE ED ASNER FAMILY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MENTAL HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:CHRISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SADD
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:818-855-2199
Mailing Address - Street 1:12400 VENTURA BLVD # 371
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2406
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16340 ROSCOE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-1217
Practice Address - Country:US
Practice Address - Phone:818-855-2199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-10
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty