Provider Demographics
NPI:1255536306
Name:WEISS, ELLA ARMINE (MFT)
Entity type:Individual
Prefix:MS
First Name:ELLA
Middle Name:ARMINE
Last Name:WEISS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:ELLA
Other - Middle Name:ARMINE
Other - Last Name:WEISS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:19857 CRYSTAL RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91326-3855
Mailing Address - Country:US
Mailing Address - Phone:818-675-0713
Mailing Address - Fax:
Practice Address - Street 1:19857 CRYSTAL RIDGE LN
Practice Address - Street 2:
Practice Address - City:PORTER RANCH
Practice Address - State:CA
Practice Address - Zip Code:91326-3855
Practice Address - Country:US
Practice Address - Phone:818-675-0713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT25232106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist