# MERIDIAN COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Meridian Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396202206
- **Authorized official:** SANDRA KUSHNIR LMFT (CEO)
- **Authorized official phone:** (310) 428-7240

## Contact information

- **Practice address:** 11835 W OLYMPIC BLVD STE 815E, LOS ANGELES, CA 90064-5056
- **Practice address phone:** (323) 332-9905
- **Mailing address:** 11640 GORHAM AVE APT 4, LOS ANGELES, CA 90049-4727
- **Mailing address phone:** (310) 428-7240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 02/27/2019
- **Last updated:** 03/20/2024
