# MAYTHAL ESHAGHIAN MARRIAGE AND FAMILY THERAPIST, A PROFESSIONAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cognitive Behavioral Therapy LA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043938145
- **Authorized official:** MAYTHAL ESHAGHIAN LMFT (CEO AND FOUNDER)
- **Authorized official phone:** (310) 270-6473

## Contact information

- **Practice address:** 120 NORTH DOHENY, UNIT 201, LOS ANGELES, CA 90048
- **Practice address phone:** (310) 270-6473
- **Mailing address:** 120 N DOHENY DR APT 201, WEST HOLLYWOOD, CA 90048-2819
- **Mailing address phone:** (310) 270-6473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2022
- **Last updated:** 08/16/2022
