Provider Demographics
NPI:1740005255
Name:MORALES, MARLA ESTELA (AMFT)
Entity type:Individual
Prefix:MRS
First Name:MARLA
Middle Name:ESTELA
Last Name:MORALES
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 S WESTLAKE BLVD STE 137
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-1988
Mailing Address - Country:US
Mailing Address - Phone:562-618-7961
Mailing Address - Fax:
Practice Address - Street 1:5414 ZOLA AVE
Practice Address - Street 2:
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-3048
Practice Address - Country:US
Practice Address - Phone:562-618-7961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA150128106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist