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Organization
FAKHOURY FAMILY AND INDIVIDUAL THERAPY CORPORATION
Active
Organization
FAKHOURY FAMILY AND INDIVIDUAL THERAPY CORPORATION
Active
Other names
Samar Neurodivergent Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
WAJDI FAKHOURY LMFT (PRESIDENT)
(213) 604-6079
Entity
Organization
Contact information
Practice address
2150 HILLHURST AVE, LOS ANGELES, CA 90027-2012
(213) 604-6079
Mailing address
23371 MULHOLLAND DR STE 400, WOODLAND HILLS, CA 91364-2734
(213) 604-6079
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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