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RENEGADE LOVE MARRIAGE AND INTIMACY THERAPY PROFESSIONAL CORPORATION
NPI 1285468611
Marriage & Family Therapist in Los Angeles, CA

Active since August 28, 2024
13340 W WASHINGTON BLVD, LOS ANGELES, CA 90066(714) 454-3072 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Renegade Love Marriage And Intimacy Therapy Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENEGADE LOVE MARRIAGE AND INTIMACY THERAPY PROFESSIONAL CORPORATION (NPI 1285468611), doing business as Renegade Love Therapy, is a healthcare organization registered as a marriage & family therapist in Los Angeles, California and active in the NPI registry since August 2024. The organization lists Alexus Martinez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285468611
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameRENEGADE LOVE MARRIAGE AND INTIMACY THERAPY PROFESSIONAL CORPORATION
Location Address13340 W WASHINGTON BLVDLos Angeles, CA 90066-5108
Mailing Address13340 W Washington BlvdLos Angeles, CA 90066-5108 · (714) 454-3072
Phone(714) 454-3072
Organization SubpartNo
Authorized OfficialAlexus MartinezCeo · (714) 454-3072
Enumeration DateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1285468611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
13340 W WASHINGTON BLVD, Los Angeles, CA 90066
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Other Names 1

Doing Business AsRenegade Love Therapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renegade Love Marriage And Intimacy Therapy Professional Corporation's NPI number?

The NPI number for Renegade Love Marriage And Intimacy Therapy Professional Corporation is 1285468611. It was assigned to this organization in the NPPES registry on August 28, 2024. The provider is doing business as Renegade Love Therapy.

Where is Renegade Love Marriage And Intimacy Therapy Professional Corporation located?

Renegade Love Marriage And Intimacy Therapy Professional Corporation is located at 13340 W Washington Blvd, Los Angeles, CA 90066. The listed phone number is (714) 454-3072.

What is Renegade Love Marriage And Intimacy Therapy Professional Corporation's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Renegade Love Marriage And Intimacy Therapy Professional Corporation was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.