# K&S THERAPEUTIC SERVICES, INC.

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

## Provider details

- **NPI number:** 1851768568
- **Authorized official:** YESHIVA D DAVIS LMFT (PRESIDENT)
- **Authorized official phone:** (310) 929-5519

## Contact information

- **Practice address:** 4325 GLENCOE AVE STE 10082, MARINA DEL REY, CA 90292-6444
- **Practice address phone:** (310) 929-5519
- **Practice address fax:** (310) 388-1386
- **Mailing address:** 4325 GLENCOE AVE STE 10082, MARINA DEL REY, CA 90292-6444
- **Mailing address phone:** (310) 929-5519
- **Mailing address fax:** (109) 295-5193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | LCSW60100 | CA | — |
| 106H00000X | Marriage & Family Therapist | LMFT52250 | CA | Yes |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/28/2015
- **Last updated:** 09/17/2024