# BLUE CHAIR FAMILY THERAPY

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

## Provider details

- **NPI number:** 1093460388
- **Authorized official:** AMY M CORNWALL LMFT (CLINICAL THERAPIST/DIRECTOR)
- **Authorized official phone:** (213) 379-6453

## Contact information

- **Practice address:** 2512 ARTESIA BLVD STE 250F, REDONDO BEACH, CA 90278-5365
- **Practice address phone:** (424) 255-8483
- **Mailing address:** 2512 ARTESIA BLVD STE 250F, REDONDO BEACH, CA 90278-5365
- **Mailing address phone:** (424) 255-8483

## Taxonomy

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

## Other

- **Enumeration date:** 02/16/2022
- **Last updated:** 02/16/2022