Organization · Type 2 NPI

Pacific Marriage & Family Therapy Network, A Professional Corporation

Marriage & Family Therapist · Santa Monica, CA

NPI number 1558720904 Active

Practice location

2716 Ocean Park Blvd Ste 3075
Santa Monica, CA 90405-5232

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	53455 (CA)

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…

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NPI record

NPI: 1558720904
Entity type: Organization (Type 2)
Issued: Feb 14, 2016
Last updated: May 5, 2022
Status: Active

Other names

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Pacific MFT Network · doing business as
Pacific MFT Network · doing business as

Authorized official

Tracy Kovacs Bevington, MA, MFT
President
(310) 226-2826

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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 1558720904

Pacific Marriage & Family Therapy Network, A Professional Corporation's National Provider Identifier is 1558720904, issued on Feb 14, 2016. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Santa Monica, CA. The record was last updated on May 5, 2022.