# HOLLYWOOD FAMILY THERAPY

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

## Provider details

- **NPI number:** 1649649278
- **Authorized official:** MS. SHANNON LEE LMFT (CEO)
- **Authorized official phone:** (661) 208-5099

## Contact information

- **Practice address:** 3171 LOS FELIZ BLVD, \#315, LOS ANGELES, CA 90039-1527
- **Practice address phone:** (661) 208-5099
- **Mailing address:** 3171 LOS FELIZ BLVD, \#315, LOS ANGELES, CA 90039-1527
- **Mailing address phone:** (661) 208-5099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 47482 | CA | Yes |

## Other

- **Enumeration date:** 09/24/2015
- **Last updated:** 09/24/2015