Provider Demographics
NPI:1043019318
Name:HEALING HUES MARRIAGE AND FAMILY THERAPY, PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:HEALING HUES MARRIAGE AND FAMILY THERAPY, PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHANNA
Authorized Official - Middle Name:EMILIA
Authorized Official - Last Name:PAVLOGIANIS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:858-598-3616
Mailing Address - Street 1:623 PRESCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-6016
Mailing Address - Country:US
Mailing Address - Phone:858-598-3616
Mailing Address - Fax:
Practice Address - Street 1:623 PRESCOTT AVE
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-6016
Practice Address - Country:US
Practice Address - Phone:858-598-3616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty