Organization · Type 2 NPI

Moxie Family Therapy, PC

Marriage & Family Therapist · Tustin, CA

NPI number 1962006486 Active

Practice location

17772 Irvine Blvd Ste 209
Tustin, CA 92780-3234

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	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…

12 other providers at this address

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NPI record

NPI: 1962006486
Entity type: Organization (Type 2)
Issued: Nov 24, 2020
Last updated: Aug 17, 2022
Status: Active

Other names

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Moxie Family Therapy, PC · doing business as
Moxie Family Therapy, PC · doing business as

Authorized official

Melissa Ann Mellon, LMFT
Founder and Director
(714) 388-6119

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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 1962006486

Moxie Family Therapy, PC's National Provider Identifier is 1962006486, issued on Nov 24, 2020. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Tustin, CA. The record was last updated on Aug 17, 2022.