Organization
TRANSFORM PSYCHOTHERAPY APC
Active
Other names
Justin Barker
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN BARKER PSY.D. (CHIEF EXECUTIVE OFFICER)
(424) 272-1554
Entity
Organization
Contact information
Practice address
1849 SAWTELLE BLVD STE 610, LOS ANGELES, CA 90025-7013
(424) 272-1554
Mailing address
24 ROSE AVE APT C, VENICE, CA 90291-2457
(626) 864-6412
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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