Provider Demographics
NPI:1972210813
Name:DELILAH THERAPY, INC.
Entity type:Organization
Organization Name:DELILAH THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DELILAH
Authorized Official - Middle Name:SHAINA
Authorized Official - Last Name:BAKHAJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-667-1053
Mailing Address - Street 1:18034 VENTURA BLVD # 267
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3516
Mailing Address - Country:US
Mailing Address - Phone:818-667-1053
Mailing Address - Fax:
Practice Address - Street 1:21243 VENTURA BLVD STE 126
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2164
Practice Address - Country:US
Practice Address - Phone:818-667-1053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-31
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty