# CB TAILORED WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MICHELLE HEYMANN LMFT
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922934777
- **Legal business name:** MICHELLE HEYMANN LMFT
- **Authorized official:** MICHELLE HEYMANN LMFT (CEO)
- **Authorized official phone:** (310) 279-9615

## Contact information

- **Practice address:** 8011 FORDHAM RD, LOS ANGELES, CA 90045-2553
- **Practice address phone:** (310) 279-9615
- **Mailing address:** 8011 FORDHAM RD, LOS ANGELES, CA 90045-2553
- **Mailing address phone:** (310) 279-9615

## Taxonomy

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

## Other

- **Enumeration date:** 06/19/2026
- **Last updated:** 06/19/2026
