# PAXWELL CHILD & FAMILY THERAPY, INC.

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

## Provider details

- **NPI number:** 1457159089
- **Authorized official:** ATHALIE MOUREY (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (949) 490-2819

## Contact information

- **Practice address:** 27281 LAS RAMBLAS STE 200, MISSION VIEJO, CA 92691-8303
- **Practice address phone:** (949) 490-2819
- **Mailing address:** 17602 17TH ST STE 120-66, TUSTIN, CA 92780-1961

## Taxonomy

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

## Other

- **Enumeration date:** 03/07/2025
- **Last updated:** 03/07/2025