Provider Demographics
NPI:1588216501
Name:RIAD, DANIELLA (LMFT144936)
Entity Type:Individual
Prefix:
First Name:DANIELLA
Middle Name:
Last Name:RIAD
Suffix:
Gender:F
Credentials:LMFT144936
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27955 SMYTH DR STE 109
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-4045
Mailing Address - Country:US
Mailing Address - Phone:805-317-4840
Mailing Address - Fax:
Practice Address - Street 1:27955 SMYTH DR STE 109
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-4045
Practice Address - Country:US
Practice Address - Phone:805-317-4840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-10
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT144936101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist