Provider Demographics
NPI:1306534656
Name:ANNA ASLANIAN MARRIAGE THERAPY INC
Entity type:Organization
Organization Name:ANNA ASLANIAN MARRIAGE THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR & FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASLANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:424-385-7503
Mailing Address - Street 1:2309 SANTA MONICA BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2040
Mailing Address - Country:US
Mailing Address - Phone:424-385-7503
Mailing Address - Fax:
Practice Address - Street 1:2309 SANTA MONICA BLVD STE 105
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2040
Practice Address - Country:US
Practice Address - Phone:424-385-7503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty