Provider Demographics
NPI:1013764265
Name:WEINMAN, LAURENTARA (LMFT)
Entity type:Individual
Prefix:MS
First Name:LAURENTARA
Middle Name:
Last Name:WEINMAN
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 1:22832 STRATHERN ST
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91304-3644
Mailing Address - Country:US
Mailing Address - Phone:818-220-1509
Mailing Address - Fax:
Practice Address - Street 1:11145 TAMPA AVE STE 27A
Practice Address - Street 2:
Practice Address - City:PORTER RANCH
Practice Address - State:CA
Practice Address - Zip Code:91326-2274
Practice Address - Country:US
Practice Address - Phone:818-220-1509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT146164106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty