Provider Demographics
NPI:1477335495
Name:BROOKS-LAO, CHLOE D (LMFT)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:D
Last Name:BROOKS-LAO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CHLOE
Other - Middle Name:D
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14411 VILLA WOODS PL
Mailing Address - Street 2:
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-3955
Mailing Address - Country:US
Mailing Address - Phone:310-467-3611
Mailing Address - Fax:
Practice Address - Street 1:2001 S BARRINGTON AVE STE 204
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5385
Practice Address - Country:US
Practice Address - Phone:818-925-8626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA130046106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist