| Tania Davoodi, Mft Marriage & Family Therapy, Inc. | |
|
11041 Hortense St North Hollywood CA 91602-1717 | |
| (818) 648-8842 | |
| Not Available |
| Full Name | Tania Davoodi, Mft Marriage & Family Therapy, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 11041 Hortense St, North Hollywood, California |
| Authorized Official Name and Position | Tania Davoodi (LMFT) |
| Authorized Official Contact | 8186488842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tania Davoodi, Mft Marriage & Family Therapy, Inc. 11041 Hortense St North Hollywood CA 91602-1717 Ph: (818) 648-8842 | Tania Davoodi, Mft Marriage & Family Therapy, Inc. 11041 Hortense St North Hollywood CA 91602-1717 Ph: (818) 648-8842 |
| NPI Number | 1588422976 |
|---|---|
| Provider Enumeration Date | 03/11/2024 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/10/2024 |
| Medicare PECOS PAC ID | 8022539410 |
|---|---|
| Medicare Enrollment ID | O20250228002859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588422976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Tania Davoodi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407223597 PECOS PAC ID: 3274054671 Enrollment ID: I20250228003097 |
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