# PROFOUND TREATMENT

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

## Provider details

- **NPI number:** 1578937637
- **Authorized official:** MR. TREVIS SMITH CAADC (FOUNDER)
- **Authorized official phone:** (310) 600-2395

## Contact information

- **Practice address:** 1990 WESTWOOD BLVD, LOS ANGELES, CA 90025-4650
- **Practice address phone:** (310) 600-2395
- **Mailing address:** 22717 LEADWELL ST, WEST HILLS, CA 91307-2106
- **Mailing address phone:** (310) 600-2395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 102556 | CA | — |
| 106H00000X | Marriage & Family Therapist | 36882 | CA | Yes |

## Other

- **Enumeration date:** 11/30/2015
- **Last updated:** 05/18/2021