Provider Demographics
NPI:1700083359
Name:REEVES, SARAH SUZANNE (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:SUZANNE
Last Name:REEVES
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:MRS
Other - First Name:SARAH
Other - Middle Name:SUZANNE
Other - Last Name:REEVES-GONZALEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:550 S VERMONT AVE FL 10
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-1912
Mailing Address - Country:US
Mailing Address - Phone:562-972-5071
Mailing Address - Fax:
Practice Address - Street 1:100 W 1ST ST FL 6
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-4112
Practice Address - Country:US
Practice Address - Phone:213-996-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46890106H00000X
CAIMF48075106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist