Provider Demographics
NPI:1235866096
Name:CUMBERBATCH, LAUREN MYLES (LMFT)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:MYLES
Last Name:CUMBERBATCH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 WELDON RD
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93109-2320
Mailing Address - Country:US
Mailing Address - Phone:805-570-3259
Mailing Address - Fax:
Practice Address - Street 1:2015 STATE ST STE A
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-6819
Practice Address - Country:US
Practice Address - Phone:805-203-6694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA134083106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist