OrganizationActive
Psychological Care and Healing Treatment Center
NPI 1003135906 · Group Psychotherapy Psychologist · Los Angeles, CA
Provider details
- NPI number
- 1003135906
- Entity type
- Organization
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Jeffery Ball, Executive and Clinical Director
Practice location
11965 Venice Blvd
Suite 407
Los Angeles, CA 90066-3979
Phone: (310) 566-7625
Fax: (310) 566-7629
Mailing address
11965 Venice Blvd
Los Angeles, CA 90066-3979
Registry dates
- Enumerated
- 2010-05-18
- Last updated
- 2010-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.