MEDICARE: LINDA CROWFOOT AMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	AMFT137657	CA

General Provider Information

NPI Number	:	1609702356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA CROWFOOT AMFT

Provider Business Mailing Address
First Line	:	16800 DEVONSHIRE ST STE 303
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-7410
Country	:	US
Telephone Number	:	818-309-7440
Fax Number	:	818-217-4699

Provider Business Practice Location Address
First Line	:	16800 DEVONSHIRE ST STE 303
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-7410
Country	:	US
Telephone Number	:	818-309-7440
Fax Number	:	818-217-4699

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2026
Last Update Date	:	06/22/2026

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