# KAIZEN CONSCIOUS LIVING & FAMILY THERAPY, PROFESSION CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kimberly J Cravotta-Purvis
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316762339
- **Authorized official:** KIMBERLY J CRAVOTTA-PURVIS LMFT (CEO)
- **Authorized official phone:** (949) 310-8417

## Contact information

- **Practice address:** 23120 ALICIA PKWY STE 200, MISSION VIEJO, CA 92692-1212
- **Practice address phone:** (949) 306-1772
- **Mailing address:** 33742 ALCAZAR DR APT A, DANA POINT, CA 92629-6402
- **Mailing address phone:** (949) 310-8417

## Taxonomy

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

## Other

- **Enumeration date:** 11/15/2024
- **Last updated:** 11/15/2024