Provider Demographics
NPI:1124288782
Name:ALLISON SHEEN, MARRIAGE AND FAMILY THERAPY, INC
Entity type:Organization
Organization Name:ALLISON SHEEN, MARRIAGE AND FAMILY THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:SHEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:310-487-0956
Mailing Address - Street 1:11500 W. OLYMPIC BLVD.
Mailing Address - Street 2:SUITE 617
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064
Mailing Address - Country:US
Mailing Address - Phone:310-487-0956
Mailing Address - Fax:
Practice Address - Street 1:11500 W. OLYMPIC BLVD.
Practice Address - Street 2:SUITE 617
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064
Practice Address - Country:US
Practice Address - Phone:310-487-0956
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-16
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 40095251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health