Healthcare Provider Details

I. General information

NPI: 1215537923
Provider Name (Legal Business Name): SARAH LAHLOU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2020
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24502 PACIFIC PARK DR
ALISO VIEJO CA
92656-3033
US

IV. Provider business mailing address

24502 PACIFIC PARK DR
ALISO VIEJO CA
92656-3033
US

V. Phone/Fax

Practice location:
  • Phone: 833-579-4848
  • Fax:
Mailing address:
  • Phone: 833-579-4848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number20656
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number151028
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: