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Organization
PSI HEALTH PARTNERS PC
Active
Organization
PSI HEALTH PARTNERS PC
Active
Other names
Trip Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE BALLIETT LMFT (CHIEF CLINICAL & OPERATIONS OFFICER)
(323) 456-3033
Entity
Organization
Contact information
Practice address
522 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1306
(213) 973-7512
(213) 608-0121
Mailing address
522 N LARCHMONT BLVD, LOS ANGELES, CA 90004-1306
(213) 973-7512
(213) 608-0121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
163W00000X
Registered Nurse
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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