# HOLLYWOOD FAMILY THERAPY GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOLLYWOOD FAMILY THERAPY GROUP, INC
- **Other names:** Hollywood Therapy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356991137
- **Legal business name:** HOLLYWOOD FAMILY THERAPY GROUP, INC
- **Authorized official:** SHANNON LEE LMFT (CEO)
- **Authorized official phone:** (323) 741-0044

## Contact information

- **Practice address:** 3111 LOS FELIZ BLVD STE 106, LOS ANGELES, CA 90039-1599
- **Practice address phone:** (323) 868-6023
- **Mailing address:** 3111 LOS FELIZ BLVD STE 106, LOS ANGELES, CA 90039-1599
- **Mailing address phone:** (323) 741-0044
- **Mailing address fax:** (323) 522-6542

## Taxonomy

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

## Other

- **Enumeration date:** 09/13/2019
- **Last updated:** 05/13/2020