# ENTRUST PSYCHOTHERAPY INC.

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

## Provider details

- **NPI number:** 1144304486
- **Authorized official:** DR. SUSAN L THRASHER PHD (OWNER)
- **Authorized official phone:** (714) 444-0395

## Contact information

- **Practice address:** 3151 AIRWAY AVE STE K102, COSTA MESA, CA 92626-4613
- **Practice address phone:** (714) 444-0395
- **Practice address fax:** (714) 444-0571
- **Mailing address:** 3151 AIRWAY AVE STE K102, COSTA MESA, CA 92626-4613
- **Mailing address phone:** (714) 444-0395
- **Mailing address fax:** (714) 444-0571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | PSY11290 | CA | — |
| 106H00000X | Marriage & Family Therapist | MFC39390 | CA | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 09/11/2025