Provider Demographics
NPI:1629596143
Name:GARZA, CHERI ANNE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CHERI
Middle Name:ANNE
Last Name:GARZA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:CHERI
Other - Middle Name:ANNE
Other - Last Name:ROSSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFTI
Mailing Address - Street 1:225 SIMI VILLAGE DRIVE PO BOX 941356
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065
Mailing Address - Country:US
Mailing Address - Phone:818-523-3882
Mailing Address - Fax:
Practice Address - Street 1:225 SIMI VILLAGE DRIVE
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065
Practice Address - Country:US
Practice Address - Phone:818-523-3882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-05
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF97880106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist