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GRACE PARK
NPI 1407115843
Marriage & Family Therapist in Gardena, CA

Active since May 04, 2012
130 W VICTORIA ST, GARDENA, CA 90248(310) 715-2020 Get Directions Write a Review

NPPES record last updated: May 4, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Grace Park NPPES

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

GRACE PARK (NPI 1407115843) is an individual marriage & family therapist in Gardena, California and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1407115843
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameGRACE PARK
Location Address130 W VICTORIA STGardena, CA 90248-3523
Mailing Address130 W Victoria StGardena, CA 90248-3523 · (310) 715-2020
Phone(310) 715-2020
Sole ProprietorNo
Enumeration DateMay 4, 2012
✔ NPI 1407115843 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.
130 W VICTORIA ST, Gardena, CA 90248
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSIE JR. N/A GALLOWAY N/A
Counselor
130 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
SARAH ELIZABETH HARMAN
Student in an Organized Health Care Education/Training Program
130 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
MS. MANUELA CHRISTINE SIRIACO M.A.
Marriage & Family Therapist
130 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
DR. NATASHA MONTEZ SHAW-CLARK
Counselor (Addiction (Substance Use Disorder))
130 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
NWANYIOZO SHALONDA OFOEGBU
Social Worker
130 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
MR. JOSEPH BRETONECHE BA
Rehabilitation Practitioner
130 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
MARY ANNETTE JAMISON
Counselor
130 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
MRS. JAMIE D. RUSSELL
Counselor (Mental Health)
130 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020

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 Grace Park's NPI number?

The NPI number for Grace Park is 1407115843. It was assigned to this individual provider in the NPPES registry on May 4, 2012.

Where is Grace Park located?

Grace Park practices at 130 W Victoria St, Gardena, CA 90248. The listed phone number is (310) 715-2020.

What is Grace Park'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 Grace Park was last updated on May 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.