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Organization

MESH FAMILY THERAPY COLLECTIVE, INC.

Active
Other names
Kincove
Organization subpart
No

Provider details

NPI number
Authorized official
EMILY WAITT MFT (OWNER/CLINICAL DIRECTOR)
(858) 736-7003
Entity
Organization

Contact information

Practice address
1150 S ROBERTSON BLVD, LOS ANGELES, CA 90035-1404
(424) 333-4551
Mailing address
1155 S WINDSOR BLVD, LOS ANGELES, CA 90019-3158
(858) 736-7003
(858) 736-7003

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
03/24/2025
Last updated
03/24/2025
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