OrganizationActive
8616 Group, LLC
NPI 1750749784 · Marriage & Family Therapist · Los Angeles, CA
Provider details
- NPI number
- 1750749784
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Darin Bennett, Clinical Director(310) 288-1718
- License
- MFT47879 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
8616 La Tijera Blvd
Suite 404
Los Angeles, CA 90045-3944
Phone: (310) 982-6062
Approximate (ZIP-level) locationGet directions
Mailing address
8616 La Tijera Blvd
Los Angeles, CA 90045-3944
Registry dates
- Enumerated
- 2016-02-04
- Last updated
- 2016-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.