Provider Demographics
NPI:1144119355
Name:APUAN-WILD, LANAYAH (ACPP#19567)
Entity type:Individual
Prefix:
First Name:LANAYAH
Middle Name:
Last Name:APUAN-WILD
Suffix:
Gender:F
Credentials:ACPP#19567
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13234
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-0234
Mailing Address - Country:US
Mailing Address - Phone:310-363-5763
Mailing Address - Fax:
Practice Address - Street 1:27 E VICTORIA ST STE J
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-8743
Practice Address - Country:US
Practice Address - Phone:805-272-0825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19567101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health