Provider Demographics
NPI:1609155134
Name:BAILEY, MEIRAV HABER (LMFT, ATR)
Entity Type:Individual
Prefix:
First Name:MEIRAV
Middle Name:HABER
Last Name:BAILEY
Suffix:
Gender:F
Credentials:LMFT, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13684 ALGRANTI AVE
Mailing Address - Street 2:
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-2603
Mailing Address - Country:US
Mailing Address - Phone:818-624-7144
Mailing Address - Fax:
Practice Address - Street 1:13684 ALGRANTI AVE
Practice Address - Street 2:
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-2603
Practice Address - Country:US
Practice Address - Phone:818-624-7144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-15
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT103611106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist