Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Evelyn Co License Marriage and Family Therapist Inc

Organization Mental Health Counselor · NPI 1730940115

Evelyn Co License Marriage and Family Therapist Inc provides Mental Health Counselor services in Los Angeles, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13323 W Washington Blvd Ste 200
Los Angeles, CA 90066-5163
Phone: (800) 803-4584
Fax: (800) 803-4584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Marriage & Family Therapist Taxonomy 106H00000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1730940115
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Evelyn Co — Ceo · (323) 803-3131
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing address15714 Halldale Ave Apt B, Gardena, CA 90247-3842

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