Provider Demographics
NPI:1477914604
Name:JARVIS, SARAH FRANK (LMFT, ATR-BC, CGP)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:FRANK
Last Name:JARVIS
Suffix:
Gender:F
Credentials:LMFT, ATR-BC, CGP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MICHELE
Other - Last Name:FRANK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16029 OLYMPIAD LN
Mailing Address - Street 2:B
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-5900
Mailing Address - Country:US
Mailing Address - Phone:818-325-5865
Mailing Address - Fax:
Practice Address - Street 1:8724 MAYA PL
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-4800
Practice Address - Country:US
Practice Address - Phone:818-325-5865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-16
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15-211221700000X
CA90725106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist