Provider Demographics
NPI:1992474779
Name:EMPOWERED MIND-BODY THERAPY FOR INDIVIDUALS AND FAMILY INC
Entity type:Organization
Organization Name:EMPOWERED MIND-BODY THERAPY FOR INDIVIDUALS AND FAMILY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SONI
Authorized Official - Middle Name:
Authorized Official - Last Name:DANI-COX
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:562-263-6041
Mailing Address - Street 1:3711 LONG BEACH BLVD # 6041
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-3315
Mailing Address - Country:US
Mailing Address - Phone:562-263-6041
Mailing Address - Fax:
Practice Address - Street 1:3711 LONG BEACH BLVD # 6041
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-3315
Practice Address - Country:US
Practice Address - Phone:562-263-6041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty