Provider Demographics
NPI:1760873913
Name:LYNN VALVERDE MARRIAGE & FAMILY THERAPY PROF CORP
Entity Type:Organization
Organization Name:LYNN VALVERDE MARRIAGE & FAMILY THERAPY PROF CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:VALVERDE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:310-488-7980
Mailing Address - Street 1:100 S POINTE DR APT 1203
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-7381
Mailing Address - Country:US
Mailing Address - Phone:310-488-7980
Mailing Address - Fax:310-582-5250
Practice Address - Street 1:3810 POPPYSEED LN APT G
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-3523
Practice Address - Country:US
Practice Address - Phone:310-488-7980
Practice Address - Fax:310-582-5250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-10
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42999106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty