# TRACY BEVINGTON MFT

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

## Provider details

- **NPI number:** 1548663800
- **Authorized official:** TRACY KOVACS BEVINGTON MA MFT (MARRIAGE & FAMILY THERAPIST)
- **Authorized official phone:** (310) 226-2826

## Contact information

- **Practice address:** 1230 ROSECRANS AVE STE 300, MANHATTAN BEACH, CA 90266-2494
- **Practice address phone:** (310) 226-2826
- **Practice address fax:** (310) 943-2590
- **Mailing address:** 1230 ROSECRANS AVE STE 300, MANHATTAN BEACH, CA 90266-2494
- **Mailing address phone:** (310) 226-2826
- **Mailing address fax:** (310) 943-2590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 53455 | CA | Yes |

## Other

- **Enumeration date:** 10/01/2014
- **Last updated:** 10/01/2014