J D Bienenfeld Msw Licensed Clinical Social Workerc Corp Lighthouse Psychotherapy

NPI #1982404919 in West Toluca Lake, California

Provider Information

NPI Number
1982404919
Entity Type
Organization
Organization Name
J D Bienenfeld Msw Licensed Clinical Social Workerc Corp Lighthouse Psychotherapy
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Mar 18, 2025
Last Updated
Aug 11, 2025

Practice Location

Address
11122 RIVERSIDE DR UNIT 101
ZIP Code
91602-2186
Phone
(818) 430-2792

Authorized Official

Name
JOSHUA DAVID BIENENFELD, MSW
Title
CEO
Phone
(818) 430-2792

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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