Marvin Behavioral Health Wi Pc

LBN: Marvin Behavioral Health Wi Pc
Marvin Behavioral Health Wi Pc is an health care organization with primary practice located at 4136 Del Rey Ave Ste 626 , Marina Del Rey CA 90292-5604. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Marvin Behavioral Health Wi Pc can be contacted via phone (617) 249-6854, or through Claughton, Kassie via phone (617) 249-6854.

Contact Information

Primary practice address
4136 Del Rey Ave Ste 626 Marina Del Rey CA 90292-5604
Phone: (617) 249-6854
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Claughton, Kassie LICSW
Phone: (617) 249-6854

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1497417943
LBN Legal business name Marvin Behavioral Health Wi Pc
DBA Doing business as
Authorized official Claughton, Kassie LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2021
Last updated May 31st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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