Organization · Type 2 NPI

Child & Individual Art Therapy

Marriage & Family Therapist · Hermosa Beach, CA

NPI number 1174244263 Active

Practice location

2401 Pacific Coast Hwy Ste 106
Hermosa Beach, CA 90254-2734

Call (424) 247-6010 Map

Mailing address

PO Box 19
Portola, CA 96122-0019

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	None listed
Art Therapist	221700000X	None listed

Marriage & Family Therapist: 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 ment…

4 other providers at this address

Other marriage & family therapist providers in Hermosa Beach

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NPI record

NPI: 1174244263
Entity type: Organization (Type 2)
Issued: Sep 7, 2022
Last updated: Jul 22, 2026
Status: Active

Other names

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Kavanaugh Therapy, Inc. · doing business as
NQ Therapy, Inc · doing business as

Authorized official

Jennifer Ortega Ortega
Billing & Operations Manager
(530) 316-4248

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174244263

Child & Individual Art Therapy's National Provider Identifier is 1174244263, issued on Sep 7, 2022. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Hermosa Beach, CA. The record was last updated on Jul 22, 2026.