Provider Demographics
NPI:1952829392
Name:HARTNEY, CHRISTINE WHEATLEY (LMFT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:WHEATLEY
Last Name:HARTNEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:TINA
Other - Middle Name:W
Other - Last Name:HARTNEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:3409 WALNUT AVE
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-3553
Mailing Address - Country:US
Mailing Address - Phone:310-617-5241
Mailing Address - Fax:
Practice Address - Street 1:2200 PACIFIC COAST HWY STE 215
Practice Address - Street 2:
Practice Address - City:HERMOSA BEACH
Practice Address - State:CA
Practice Address - Zip Code:90254-2701
Practice Address - Country:US
Practice Address - Phone:310-617-5241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-06
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101543106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist