Provider Demographics
NPI:1841607124
Name:PATEL, ARATI (LMFT)
Entity Type:Individual
Prefix:
First Name:ARATI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28310 ROADSIDE DR STE 111
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-4947
Mailing Address - Country:US
Mailing Address - Phone:747-200-5821
Mailing Address - Fax:949-415-2359
Practice Address - Street 1:28310 ROADSIDE DR STE 111
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-4947
Practice Address - Country:US
Practice Address - Phone:747-200-5821
Practice Address - Fax:949-415-2359
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-17
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA105734106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty