Provider Demographics
NPI:1265693006
Name:BOORSTIN, SARAH MIRCHEFF (MS, LMFT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MIRCHEFF
Last Name:BOORSTIN
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:GABRIELLE
Other - Last Name:MIRCHEFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:14156 MAGNOLIA BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-1181
Mailing Address - Country:US
Mailing Address - Phone:818-738-9855
Mailing Address - Fax:
Practice Address - Street 1:14156 MAGNOLIA BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-1181
Practice Address - Country:US
Practice Address - Phone:818-738-9855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 49436106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist