# THERAPY COLLECTIVE OF CALIFORNIA

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

## Provider details

- **NPI number:** 1407605546
- **Authorized official:** SAMANTHA POTTHOFF LMFT (CEO)
- **Authorized official phone:** (310) 925-3357

## Contact information

- **Practice address:** 113 N SAN VICENTE BLVD STE 256, BEVERLY HILLS, CA 90211-2329
- **Practice address phone:** (805) 409-7101
- **Mailing address:** 113 N SAN VICENTE BLVD STE 256, BEVERLY HILLS, CA 90211-2329
- **Mailing address phone:** (805) 409-7101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/13/2024
- **Last updated:** 05/13/2024