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Organization
AWAKEN VENTURES
Active
Organization
AWAKEN VENTURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASMINE KHOUSHAB LMFT (CEO AND CLINICAL DIRECTOR)
(818) 581-2186
Entity
Organization
Contact information
Practice address
16530 VENTURA BLVD STE 400, ENCINO, CA 91436-4551
(818) 581-2186
Mailing address
16530 VENTURA BLVD STE 400, ENCINO, CA 91436-4551
(818) 581-2186
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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