Organization
BODHI HEALING MARRIAGE & FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANIA DJAVID (LMFT)
(949) 334-7171
Entity
Organization
Contact information
Practice address
1151 DOVE ST STE 244, NEWPORT BEACH, CA 92660-2806
(949) 334-7171
Mailing address
1151 DOVE ST STE 244, NEWPORT BEACH, CA 92660-2806
(949) 334-7171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
01/10/2024
Last updated
01/16/2025
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