Healthcare Provider Details
I. General information
NPI: 1174459929
Provider Name (Legal Business Name): ELIZABETH ROGERS LICENSED MARRIAGE AND FAMILY THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8301 BRIMHALL RD
BAKERSFIELD CA
93312-2243
US
IV. Provider business mailing address
5501 STOCKDALE HWY UNIT 11662
BAKERSFIELD CA
93389-7120
US
V. Phone/Fax
- Phone: 661-243-0250
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELIZABETH
ROGERS
Title or Position: OWNER
Credential: LMFT, SEP, CPSS
Phone: 661-243-0250