Provider Demographics
NPI:1245605609
Name:DARCY, YUTTA
Entity Type:Individual
Prefix:
First Name:YUTTA
Middle Name:
Last Name:DARCY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YUTTA
Other - Middle Name:
Other - Last Name:DARCY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT
Mailing Address - Street 1:1923 1/2 WESTWOOD BLVD STE 5
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-8401
Mailing Address - Country:US
Mailing Address - Phone:310-474-2922
Mailing Address - Fax:
Practice Address - Street 1:1923 1/2 WESTWOOD BLVD STE 5
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-8401
Practice Address - Country:US
Practice Address - Phone:310-474-2922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC23595101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health