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Organization
AMANDA BURBACK MARRIAGE AND FAMILY THERAPY INC.
Active
Organization
AMANDA BURBACK MARRIAGE AND FAMILY THERAPY INC.
Active
Other names
Mellow Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA HALE BURBACK LMFT (PRESIDENT)
(805) 231-6162
Entity
Organization
Contact information
Practice address
13323 W WASHINGTON BLVD, LOS ANGELES, CA 90066-5170
(805) 231-6162
Mailing address
4115 GLENCOE AVE APT 112, MARINA DEL REY, CA 90292-3800
(805) 231-6162
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
06/10/2026
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