Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renegade Love Marriage and Intimacy Therapy Professional Corporation

Organization Marriage & Family Therapist · NPI 1285468611

Renegade Love Marriage and Intimacy Therapy Professional Corporation is a Marriage & Family Therapist in Los Angeles, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

13340 W Washington Blvd
Los Angeles, CA 90066-5108
Phone: (714) 454-3072
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1285468611
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexus Martinez — Ceo · (714) 454-3072
Other names Renegade Love Therapy
NPI enumeratedAugust 28, 2024
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address13340 W Washington Blvd, Los Angeles, CA 90066-5108

Other providers in Los Angeles