Provider Demographics
NPI:1336687409
Name:SHONAFELT, ELIZABETH (MMFT, LMFT)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:SHONAFELT
Suffix:
Gender:F
Credentials:MMFT, LMFT
Other - Prefix:
Other - First Name:LILLY
Other - Middle Name:
Other - Last Name:SHONAFELT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MMFT, LMFT
Mailing Address - Street 1:5655 LINDERO CANYON RD STE 401
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-4046
Mailing Address - Country:US
Mailing Address - Phone:323-238-5023
Mailing Address - Fax:
Practice Address - Street 1:5655 LINDERO CANYON RD STE 401
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-4046
Practice Address - Country:US
Practice Address - Phone:323-238-5023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-08
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist