Provider Demographics
NPI:1518347160
Name:CHELYAPOV, VERA ELIZABETH (LMFT)
Entity Type:Individual
Prefix:
First Name:VERA
Middle Name:ELIZABETH
Last Name:CHELYAPOV
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18645 HATTERAS ST
Mailing Address - Street 2:UNIT 190
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-1834
Mailing Address - Country:US
Mailing Address - Phone:310-666-9042
Mailing Address - Fax:
Practice Address - Street 1:3255 CAHUENGA BLVD W STE 208
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90068-1777
Practice Address - Country:US
Practice Address - Phone:310-666-9042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-08
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF85203106H00000X
CALMFT98150106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist