# ARBOL DE VIDA FAMILY COUNSELING SERVICE, PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ARBOL DE VIDA COUNSELING SERVICE, Arbol de Vida Counseling Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083412811
- **Authorized official:** ERNESTO PERAZA LMFT (PRESIDENT)
- **Authorized official phone:** (818) 294-5733

## Contact information

- **Practice address:** 4405 W RIVERSIDE DR STE 205, BURBANK, CA 91505-4050
- **Practice address phone:** (818) 294-5733
- **Mailing address:** 4405 W RIVERSIDE DR STE 205, BURBANK, CA 91505-4050
- **Mailing address phone:** (818) 294-5733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2025
- **Last updated:** 04/08/2026