# VIDA THERAPY MARRIAGE FAMILY AND CHILD COUNCELING INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vida Therapy Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629551940
- **Authorized official:** MISS ZEAHLOT A LOPEZ LMFT (CEO)
- **Authorized official phone:** (818) 650-0255

## Contact information

- **Practice address:** 15233 VENTURA BLVD STE 1208, SHERMAN OAKS, CA 91403-2271
- **Practice address phone:** (818) 650-0255
- **Mailing address:** 15233 VENTURA BLVD STE 1208, SHERMAN OAKS, CA 91403-2271
- **Mailing address phone:** (818) 650-0255

## Taxonomy

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

## Other

- **Enumeration date:** 09/12/2018
- **Last updated:** 09/12/2018