# MENDED HEART FAMILY COUNSELING & TRAUMA RECOVERY CENTER, P.C.

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

## Provider details

- **NPI number:** 1104573138
- **Authorized official:** JENNIFER MORRIS MA (FOUNDER)
- **Authorized official phone:** (949) 468-2885

## Contact information

- **Practice address:** 1968 S COAST HWY STE 5375, LAGUNA BEACH, CA 92651-3681
- **Practice address phone:** (949) 468-2885
- **Mailing address:** 1968 S COAST HWY STE 5375, LAGUNA BEACH, CA 92651-3681
- **Mailing address phone:** (949) 468-2885

## Taxonomy

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

## Other

- **Enumeration date:** 03/09/2022
- **Last updated:** 04/25/2025