Provider Demographics
NPI:1710869326
Name:PEARL PATHWAYS INDIVIDUAL AND FAMILY THERAPY, INC
Entity type:Organization
Organization Name:PEARL PATHWAYS INDIVIDUAL AND FAMILY THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, LMFT
Authorized Official - Prefix:
Authorized Official - First Name:D'ANDRA
Authorized Official - Middle Name:PEARL
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:562-231-7404
Mailing Address - Street 1:6 CENTERPOINTE DR STE 700
Mailing Address - Street 2:
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-2545
Mailing Address - Country:US
Mailing Address - Phone:562-726-5976
Mailing Address - Fax:
Practice Address - Street 1:229 E COMMONWEALTH AVE APT 315
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-4908
Practice Address - Country:US
Practice Address - Phone:562-726-5976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-24
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty