# GREAT MINDS THERAPY: INDIVIDUAL, GROUP, AND FAMILY PSYCHOTHERAPY, INC.

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

## Provider details

- **NPI number:** 1346930344
- **Authorized official:** JULIA KALUGA DOCTOR OF PSYCHOLOGY (OWNER)
- **Authorized official phone:** (323) 304-5777

## Contact information

- **Practice address:** 6618 JAMIESON AVE, RESEDA, CA 91335-5612
- **Practice address phone:** (323) 304-5777
- **Mailing address:** 6618 JAMIESON AVE, RESEDA, CA 91335-5612
- **Mailing address phone:** (323) 304-5777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 102L00000X | Psychoanalyst | — | NULL | — |
| 102L00000X | Psychoanalyst | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NULL | — |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | — | — |
| 103TA0700X | Adult Development & Aging Psychologist | — | NULL | — |
| 103TA0700X | Adult Development & Aging Psychologist | — | — | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | NULL | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 103TF0000X | Family Psychologist | — | NULL | — |
| 103TF0000X | Family Psychologist | — | — | — |
| 103TH0004X | Health Psychologist | — | NULL | — |
| 103TH0004X | Health Psychologist | — | — | — |
| 103TH0100X | Health Service Psychologist | — | NULL | — |
| 103TH0100X | Health Service Psychologist | — | — | — |
| 103TP0814X | Psychoanalysis Psychologist | — | NULL | — |
| 103TP0814X | Psychoanalysis Psychologist | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2023
- **Last updated:** 05/11/2023