Provider Demographics
NPI:1568578664
Name:LORRIN MCCORMICK LMFT INC
Entity Type:Organization
Organization Name:LORRIN MCCORMICK LMFT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LORRIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCCORMICK
Authorized Official - Suffix:
Authorized Official - Credentials:LMPT
Authorized Official - Phone:818-763-0620
Mailing Address - Street 1:10153 1/2 RIVERSIDE DRIVE
Mailing Address - Street 2:STE 311
Mailing Address - City:TOLUCA LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:91602
Mailing Address - Country:US
Mailing Address - Phone:818-763-0620
Mailing Address - Fax:
Practice Address - Street 1:12402 VENTURA BLVD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91602
Practice Address - Country:US
Practice Address - Phone:818-763-0620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC36945106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty