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

Pigeon Provost

Individual provider Marriage & Family Therapist · NPI 1366134652

Pigeon Provost is a Marriage & Family Therapist in Los Angeles, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

1625 Schrader Blvd
Los Angeles, CA 90028-6213
Phone: (323) 993-7500
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence AMFT160367 (CA)

Record details

NPI number1366134652
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 24, 2023
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

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