Provider Demographics
NPI:1306508882
Name:RELATIONSHIP WELL- MARRIAGE & SEX THERAPY
Entity type:Organization
Organization Name:RELATIONSHIP WELL- MARRIAGE & SEX THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOTAREFI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:860-575-5242
Mailing Address - Street 1:1920 HILLHURST AVE # 1017
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-2712
Mailing Address - Country:US
Mailing Address - Phone:305-787-3677
Mailing Address - Fax:
Practice Address - Street 1:1920 HILLHURST AVE # 1017
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-2712
Practice Address - Country:US
Practice Address - Phone:305-787-3677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-12
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty