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Organization
THERAPY TIES
Active
Organization
THERAPY TIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIRON SAMARA LMFT (OWNER)
(818) 208-0518
Entity
Organization
Contact information
Practice address
20300 VENTURA BLVD STE 330, WOODLAND HILLS, CA 91364-0904
(818) 208-0518
(818) 805-3408
Mailing address
20300 VENTURA BLVD STE 330, WOODLAND HILLS, CA 91364-0904
(818) 208-0518
(818) 805-3408
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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