| NPI | 1003695362 |
|---|---|
| Former Legal Business Name | WEEKEND THERAPY L.L.C. |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS KEITH BENNETT Psychologist 805-203-6673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| 103TC1900X Psychologist, Counseling | |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2026-04-14 |