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Organization
GREEN HEART THERAPY INC
Active
Organization
GREEN HEART THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISHEVA DORFMAN LMFT (OWNER)
(818) 697-1113
Entity
Organization
Contact information
Practice address
18075 VENTURA BLVD STE 226, ENCINO, CA 91316-3597
(818) 697-1113
Mailing address
18075 VENTURA BLVD STE 226, ENCINO, CA 91316-3597
(818) 697-1113
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
06/12/2024
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