Healthcare Provider Details

I. General information

NPI: 1124439906
Provider Name (Legal Business Name): MIA ADLER OZAIR LPCC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2014
Last Update Date: 05/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

443 S OAKHURST DR 207
BEVERLY HILLS CA
90212-4763
US

IV. Provider business mailing address

443 S OAKHURST DR 207
BEVERLY HILLS CA
90212-4763
US

V. Phone/Fax

Practice location:
  • Phone: 310-464-5226
  • Fax:
Mailing address:
  • Phone: 310-464-5226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number123
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: