Provider Demographics
NPI:1346419298
Name:GUTIERREZ- ESCALANTE, BEATRIZ (LMFT)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:
Last Name:GUTIERREZ- ESCALANTE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:BEATRIZ
Other - Middle Name:
Other - Last Name:GUTIERREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LIFE PURPOSE MFT,INC
Mailing Address - Street 1:1605 W OLYMPIC BLVD STE 1035
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-3864
Mailing Address - Country:US
Mailing Address - Phone:818-458-4950
Mailing Address - Fax:323-372-3712
Practice Address - Street 1:1605 W OLYMPIC BLVD STE 1035
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-3864
Practice Address - Country:US
Practice Address - Phone:818-458-4950
Practice Address - Fax:323-372-3712
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-25
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT120448106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist