Organization
J D BIENENFELD MSW LICENSED CLINICAL SOCIAL WORKERC CORP LIGHTHOUSE PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA DAVID BIENENFELD MSW (CEO)
(818) 430-2792
Entity
Organization
Contact information
Practice address
11122 RIVERSIDE DR UNIT 101, WEST TOLUCA LAKE, CA 91602-2186
(818) 430-2792
Mailing address
4365 E LOWELL ST STE H, ONTARIO, CA 91761-2226
(818) 430-2792
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
08/11/2025
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