DOMENIQUE HARRISON
Marriage & Family Therapist

Address: 12851 Rubens Ave, Los Angeles, CA 90066-6539

DOMENIQUE HARRISON (NPI# 1609450311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609450311
Entity Type Individual
Full Name DOMENIQUE HARRISON
Gender Female
Practice Address 12851 Rubens Ave
Los Angeles
CA 90066-6539
Practice Telephone 9734774350
Mailing Address 2001 S Barrington Ave Ste 301
Los Angeles
CA 90025-5379
Mailing Telephone 4243460514
Certification Date 2021-05-02
Enumeration Date 2021-05-09
Last Update Date 2021-05-09
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Direct Messaging Address domenique@well-play.com (business email address) 12851 Rubens Ave, Los Angeles, CA 900666539 Direct CSV

Office Location

Street Address 12851 RUBENS AVE
City LOS ANGELES
State CA
Zip Code 90066-6539

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1972096600 Tricia Kim Ann Walters Licensed Vocational Nurse 1233 S. La Cienega Blvd, Los Angeles, CA 90066 2018-06-07
1669881546 Sepideh Dolatyar Dentist 3120 Sawtelle Blvd #305, Los Angeles, CA 90066 2014-08-05
1497107098 Joselyn Valle Rehabilitation Practitioner 12099 W Washignton Ave., Suite 200, Culver City, CA 90066 2016-07-07
1053762856 Stanley Eng Pharmacist 12315 Venice Blvd, Los Angeles, CA 90066 2016-06-23
1164992731 Erfan Nazeri Student in an Organized Health Care Education/Training Program 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 2018-11-27
1336669381 Andrea Michelle Bakke Dentist - General Practice 3636 Rosewood Ave, Los Angeles, CA 90066 2017-06-21
1063867216 Richard Wladich Case Manager/Care Coordinator 12901 Venice Blvd, Los Angeles, CA 90066 2016-04-25
1053928390 Wesley Jerome Oaties II Physical Therapist 3030 Sawtelle Blvd, Los Angeles, CA 90066 2020-09-30
1194330274 Marilyn S Zweifach Psychologist - Clinical 3606 Barry Avenue, Los Angeles, CA 90066 2020-09-15
1316351612 Martin Reyes Counselor 1233 S. La Cienega, Los Angeles, CA 90066 2014-06-13
Find all in zip 90066

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316520620 Alexandra Bennet Agar Marriage & Family Therapist 11835 W Olympic Blvd Unit 815a, Los Angeles, CA 90064-5001 2021-05-04
1306429865 Marisa Genzoli Marriage & Family Therapist 1503 S Shenandoah St, Los Angeles, CA 90035-4420 2021-05-03
1821671538 Michelle J Howard Marriage & Family Therapist 4459 Harding Ave, Los Angeles, CA 90066-6122 2021-04-30
1871173070 Alexander Thomas Uhlmann Marriage & Family Therapist 5730 Cazaux Dr, Los Angeles, CA 90068-2432 2021-04-12
1023698347 Gina O'Leary Kirkland Polesetsky Marriage & Family Therapist 11980 San Vicente Blvd Ste 909, Los Angeles, CA 90049-6607 2021-04-11
1790364073 Oh Marriage & Family Therapy Corp Marriage & Family Therapist 11710 San Vicente Blvd, Los Angeles, CA 90049-5006 2021-04-05
1154900587 Jessica Maria Hicks Marriage & Family Therapist 3936 Berryman Ave, Los Angeles, CA 90066-5016 2021-04-04
1043899578 Leah Smith Marriage & Family Therapist 5059 Lynnfield St, Los Angeles, CA 90032-2835 2021-04-02
1598343493 Gwen's House Marriage and Family Therapy, Inc. Marriage & Family Therapist 7190 W Sunset Blvd # 62d, Los Angeles, CA 90046-4415 2021-03-31
1275119885 Jeannette Lopez Marriage & Family Therapist 1051 S Wooster St Apt 6, Los Angeles, CA 90035-1548 2021-03-23
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90066

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.