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Organization
NEW LEAF MARRIAGE & FAMILY THERAPY, INC.
Active
Organization
NEW LEAF MARRIAGE & FAMILY THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE ANNE BOLOGNA LMFT (COMPANY PRESIDENT)
(805) 774-1506
Entity
Organization
Contact information
Practice address
2489 TAPO ST STE B, SIMI VALLEY, CA 93063-2453
(805) 774-1506
Mailing address
2489 TAPO ST STE B, SIMI VALLEY, CA 93063-2453
(805) 774-1506
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
Other
Enumeration date
06/13/2022
Last updated
01/09/2025
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