Organization
CHILD & INDIVIDUAL ART THERAPY
Active
Other names
Kavanaugh Therapy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ANYA KAVANAUGH LMFT, ATR (OWNER)
(424) 247-6010
Entity
Organization
Contact information
Practice address
2401 PACIFIC COAST HWY STE 106, HERMOSA BEACH, CA 90254-2734
(424) 247-6010
Mailing address
2401 PACIFIC COAST HWY STE 106, HERMOSA BEACH, CA 90254-2734
(424) 247-6010
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
02/06/2024
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