Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Evelyn Co License Marriage and Family Therapist Inc

Organization Mental Health Counselor · NPI 1730940115

Evelyn Co License Marriage and Family Therapist Inc is a Mental Health Counselor in Los Angeles, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13323 W Washington Blvd Ste 200
Los Angeles, CA 90066-5163
Phone: (800) 803-4584
Fax: (800) 803-4584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Marriage & Family Therapist Taxonomy 106H00000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1730940115
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Evelyn Co — Ceo · (323) 803-3131
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing address15714 Halldale Ave Apt B, Gardena, CA 90247-3842

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