# PRIME CHILD AND FAMILY THERAPY

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

## Provider details

- **NPI number:** 1235982786
- **Authorized official:** SELINA GALVAN LMFT (OWNER)
- **Authorized official phone:** (818) 388-7157

## Contact information

- **Practice address:** 11145 TAMPA AVE STE 18A, PORTER RANCH, CA 91326-2268
- **Practice address phone:** (818) 388-7157
- **Mailing address:** 6900 LANKERSHIM BLVD, NORTH HOLLYWOOD, CA 91605-6110

## Taxonomy

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

## Other

- **Enumeration date:** 04/05/2024
- **Last updated:** 04/05/2024