# HOLLYWOOD FAMILY THERAPY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hollywood Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871086983
- **Authorized official:** MS. SHANNON LEE LMFT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (323) 741-0044

## Contact information

- **Practice address:** 3111 LOS FELIZ BLVD STE 106, LOS ANGELES, CA 90039-1599
- **Practice address phone:** (323) 741-0044
- **Mailing address:** 3111 LOS FELIZ BLVD STE 106, LOS ANGELES, CA 90039-1599
- **Mailing address phone:** (323) 741-0044

## Taxonomy

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

## Other

- **Enumeration date:** 06/13/2018
- **Last updated:** 06/13/2018