# MENDING SOULS

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

## Provider details

- **NPI number:** 1801669205
- **Authorized official:** SARINE DAVITYAN MFT (LICENSED MFT)
- **Authorized official phone:** (818) 724-9770

## Contact information

- **Practice address:** 1010 N CENTRAL AVE \# 310, GLENDALE, CA 91202-2937
- **Practice address phone:** (818) 724-9770
- **Practice address fax:** (818) 484-2991
- **Mailing address:** 1010 N CENTRAL AVE \# 310, GLENDALE, CA 91202-2937
- **Mailing address phone:** (818) 724-9770

## Taxonomy

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

## Other

- **Enumeration date:** 11/07/2023
- **Last updated:** 11/07/2023