# CHANDRA CHAIKIN MS LICENSEDMARRIAGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Resilient Self Holistic Therapy Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720896269
- **Authorized official:** CHANDRA BAYLOR MFT, BC-DMT, CEDS (OWNER)
- **Authorized official phone:** (949) 215-0612

## Contact information

- **Practice address:** 25401 CABOT RD STE 115, LAGUNA HILLS, CA 92653-5530
- **Practice address phone:** (949) 215-0612
- **Practice address fax:** (949) 215-0636
- **Mailing address:** 25401 CABOT RD STE 115, LAGUNA HILLS, CA 92653-5530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 225600000X | Dance Therapist | — | NULL | — |
| 225600000X | Dance Therapist | — | — | — |

## Other

- **Enumeration date:** 12/30/2024
- **Last updated:** 05/12/2025