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Organization
BEACHSIDE ADULT AND FAMILY THERAPY INC
Active
Organization
BEACHSIDE ADULT AND FAMILY THERAPY INC
Active
Other names
Beachside Therapy and Assessment Center
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY O'REILLY PSYD, LMFT (CEO)
(310) 463-5656
Entity
Organization
Contact information
Practice address
3160 TELEGRAPH RD STE 200, VENTURA, CA 93003-3250
(805) 642-4611
(805) 585-3241
Mailing address
3160 TELEGRAPH RD STE 200, VENTURA, CA 93003-3250
(805) 642-4611
(805) 585-3241
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
102L00000X
Psychoanalyst
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1241840
BEACON
—
05
—
700687251
—
CA
Enumeration date
07/26/2010
Last updated
12/26/2025
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