Provider Demographics
NPI:1417434465
Name:STERBENZ, ELIZABETH REBECCA (MA, LMFT #107391)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:REBECCA
Last Name:STERBENZ
Suffix:
Gender:F
Credentials:MA, LMFT #107391
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 N FAIRFAX AVE # 232
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-2110
Mailing Address - Country:US
Mailing Address - Phone:323-251-6450
Mailing Address - Fax:
Practice Address - Street 1:8170 BEVERLY BLVD STE 207
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-4546
Practice Address - Country:US
Practice Address - Phone:323-546-4947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-23
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166.001478106H00000X
MO2020037407106H00000X
IDLMFT-8863106H00000X
WI2148-124106H00000X
CALMFT107391106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist