Provider Demographics
NPI:1912532623
Name:GUIDANCE TELETHERAPY FAMILY COUNSELING INC.
Entity type:Organization
Organization Name:GUIDANCE TELETHERAPY FAMILY COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:LANDRUM
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:612-470-4757
Mailing Address - Street 1:6755 LINDLEY AVE
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-5513
Mailing Address - Country:US
Mailing Address - Phone:818-804-6855
Mailing Address - Fax:
Practice Address - Street 1:6755 LINDLEY AVE
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-5513
Practice Address - Country:US
Practice Address - Phone:818-804-6855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-03
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty