Provider Demographics
NPI:1386344067
Name:REINIS MARRIAGE AND FAMILY THERAPY CORP.
Entity type:Organization
Organization Name:REINIS MARRIAGE AND FAMILY THERAPY CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEG
Authorized Official - Middle Name:C
Authorized Official - Last Name:REINIS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:310-308-4408
Mailing Address - Street 1:4712 ADMIRALTY WAY STE 1111
Mailing Address - Street 2:
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-6905
Mailing Address - Country:US
Mailing Address - Phone:310-308-4408
Mailing Address - Fax:
Practice Address - Street 1:13101 W WASHINGTON BLVD STE 112
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-5176
Practice Address - Country:US
Practice Address - Phone:310-308-4408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health