Basic Information
| Provider Information | |||||||||
| NPI: | 1295234193 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NARVAEZ | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | BRANDY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3910 OAKWOOD AVE | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900043413 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3239537350 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3910 OAKWOOD AVE | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900043413 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3239537350 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/06/2018 | ||||||||
| LastUpdateDate: | 08/06/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/06/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | AMFT102321 | CA | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 106H00000X | LMFT126981 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.