# GROWTH RINGS RELATIONSHIP & FAMILY THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063970150
- **Authorized official:** DR. GREGORY ALLEN WALSTON PHD, LMFT, CORP (PRESIDENT/CEO AND LEAD CLINICAN)
- **Authorized official phone:** (818) 825-4904

## Contact information

- **Practice address:** 4405 W RIVERSIDE DRIVE, STE 205, BURBANK, CA 91505-4050
- **Practice address phone:** (818) 825-4904
- **Mailing address:** 4405 W RIVERSIDE DRIVE, STE 205, BURBANK, CA 91505-4050
- **Mailing address phone:** (818) 825-4904

## Taxonomy

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

## Other

- **Enumeration date:** 03/07/2019
- **Last updated:** 12/15/2021