Provider Demographics
NPI:1831523596
Name:GHEORGHIU, CORINA (LMFT)
Entity type:Individual
Prefix:
First Name:CORINA
Middle Name:
Last Name:GHEORGHIU
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 1:23505 CRENSHAW BLVD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5221
Mailing Address - Country:US
Mailing Address - Phone:310-259-4214
Mailing Address - Fax:323-998-7617
Practice Address - Street 1:23505 CRENSHAW BLVD
Practice Address - Street 2:SUITE 140
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5221
Practice Address - Country:US
Practice Address - Phone:310-259-4214
Practice Address - Fax:323-998-7617
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT81859106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist