# FAKHOURY FAMILY AND INDIVIDUAL THERAPY CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Samar Neurodivergent Therapy Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326911835
- **Authorized official:** WAJDI FAKHOURY LMFT (PRESIDENT)
- **Authorized official phone:** (213) 604-6079

## Contact information

- **Practice address:** 2150 HILLHURST AVE, LOS ANGELES, CA 90027-2012
- **Practice address phone:** (213) 604-6079
- **Mailing address:** 23371 MULHOLLAND DR STE 400, WOODLAND HILLS, CA 91364-2734
- **Mailing address phone:** (213) 604-6079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2025
- **Last updated:** 09/29/2025