Provider Demographics
NPI:1982475356
Name:CELYNNA HARNETIAUX INDIVIDUAL, COUPLE AND FAMILY THERAPY INC.
Entity type:Organization
Organization Name:CELYNNA HARNETIAUX INDIVIDUAL, COUPLE AND FAMILY THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CELYNNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARNETIAUX
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:562-322-3631
Mailing Address - Street 1:4807 TOWERS ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-1447
Mailing Address - Country:US
Mailing Address - Phone:562-322-3631
Mailing Address - Fax:
Practice Address - Street 1:235 AVENIDA DEL NORTE STE B
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-5729
Practice Address - Country:US
Practice Address - Phone:562-322-3631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty