Healthcare Provider Details

I. General information

NPI: 1417881657
Provider Name (Legal Business Name): BETH COWLING AMFT, APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4505 LAS VIRGENES RD STE 217
CALABASAS CA
91302-1956
US

IV. Provider business mailing address

2720 NEILSON WAY #5020
SANTA MONICA CA
90409-1002
US

V. Phone/Fax

Practice location:
  • Phone: 818-889-3665
  • Fax:
Mailing address:
  • Phone: 310-995-9629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number21868
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number161350
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: