Provider Demographics
NPI:1942683644
Name:FLACH, WINIFRED LLOYD (LMFT)
Entity Type:Individual
Prefix:
First Name:WINIFRED
Middle Name:LLOYD
Last Name:FLACH
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 1:864 S ROBERTSON BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-1628
Mailing Address - Country:US
Mailing Address - Phone:310-927-8262
Mailing Address - Fax:
Practice Address - Street 1:864 S ROBERTSON BLVD STE 205
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-1628
Practice Address - Country:US
Practice Address - Phone:310-927-8262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 54041106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist