Healthcare Provider Details

I. General information

NPI: 1497664700
Provider Name (Legal Business Name): BARBARA ROSE SULTAN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5731 W SLAUSON AVE STE 125
CULVER CITY CA
90230-4200
US

IV. Provider business mailing address

5731 W SLAUSON AVE STE 125
CULVER CITY CA
90230-4200
US

V. Phone/Fax

Practice location:
  • Phone: 310-926-2958
  • Fax:
Mailing address:
  • Phone: 310-926-2958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMFC14749
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC14749
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: