Provider Demographics
NPI:1003401928
Name:SCIAMETTA, CARRIE ELAINE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:ELAINE
Last Name:SCIAMETTA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:CARRIE
Other - Middle Name:ELAINE
Other - Last Name:BECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:175 S WATERWHEEL WAY
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-4341
Mailing Address - Country:US
Mailing Address - Phone:916-300-7014
Mailing Address - Fax:
Practice Address - Street 1:9881 DEERHAVEN DR
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-7501
Practice Address - Country:US
Practice Address - Phone:949-445-5169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-02
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA114826106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist