CHARLEY LEIGH SWAN


Address: 11 Wavecrest Ave, Venice, CA 90291-6213
Phone: 9109882725

CHARLEY LEIGH SWAN (NPI# 1275862849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275862849
Entity Type Individual
Full Name CHARLEY LEIGH SWAN
Credential M.A.
Practice Address 11 Wavecrest Ave
Venice
CA 90291-6213
Practice Telephone 9109882725
Mailing Telephone 9109882725
Enumeration Date 2009-12-10
Last Update Date 2015-04-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 83292 CA Behavioral Health & Social Service Providers

Office Location

Street Address 11 WAVECREST AVE
City VENICE
State CA
Zip Code 90291-6213

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033629837 Dylan Booth Dentist 601 Vernon Ave, Venice, CA 90291 2017-10-05
1467979500 Linda Sittler Registered Nurse 1025 Palms Ave, Venice, CA 90291 2017-08-29
1003218660 Patricia Guadalupe Rivas Counselor 717 Lincoln Blvd., Venice, CA 90291 2014-09-25
1497016877 Carrie Lynn Kowalski Physician Assistant 604 Rose Avenue, Venice, CA 90291 2012-06-02
1821364761 Cheryl Lynn Perkins Nutritionist 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 2012-03-26
1629391875 James L. Hoff Optometrist 1636 Abbot Kinney Blvd., Venice, CA 90291 2010-03-02
1720315096 Kristen Nicol Leishman Counselor 911 Coeur D'alene Ave, Venice, CA 90291 2009-11-06
1922237882 David Anthony Garcia Physician Assistant 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 2009-07-13
1548411010 David Watts Acupuncturist 307 S. Robertson Blvd, Beverly Hills, CA 90291 2008-10-02
1184891699 Judy Alexander Voluntary or Charitable 204 Hampton Drive, St Joseph Center, Venice, CA 90291 2008-05-14
Find all providers in zip 90291

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

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 mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013518604 John William Johnson Marriage & Family Therapist 2700 Abbot Kinney Blvd Apt 11, Venice, CA 90291-4772 2020-11-02
1467068353 Eric Paulson Marriage & Family Therapist 1210 Victoria Ave, Venice, CA 90291-4023 2020-09-17
1952894370 Gali Barak Marriage & Family Therapist 340 Sunset Ave, Venice, CA 90291-2632 2018-06-11
1114434800 Kevin Kunkel Marriage & Family Therapist 122 Lincoln Blvd Ste 203, Venice, CA 90291-2859 2018-01-04
1073034187 Mary Barbour Marriage & Family Therapist 640 Woodlawn Ave, Venice, CA 90291-4851 2017-06-28
1699916577 Brenda Kay Beardsley Marriage & Family Therapist 40 1/2 Paloma Ave, Venice, CA 90291-2895 2009-03-23
1538309828 Michael Israel Marriage & Family Therapist 20 Ozone Ave, Venice, CA 90291-2410 2009-02-25
1457506594 Rudolfo J Berru Marriage & Family Therapist 408 S Venice Blvd Apt 2, Venice, CA 90291-4674 2008-11-17
1922263060 Margaret Lindauer-comden Marriage & Family Therapist 2013 Oakwood Ave, Venice, CA 90291-3810 2008-07-28
1205030343 Nancy Aline Zoss Marriage & Family Therapist 705 Marco Place, Venice, CA 90291 2007-06-13
Find all providers in VENICE

Competitor

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City VENICE
Zip Code 90291

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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