Healthcare Provider Details

I. General information

NPI: 1194439398
Provider Name (Legal Business Name): LUCY RIMALOWER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2023
Last Update Date: 01/11/2023
Certification Date: 01/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16055 VENTURA BLVD STE 500
ENCINO CA
91436-2605
US

IV. Provider business mailing address

4619 WAWONA ST
LOS ANGELES CA
90065-5221
US

V. Phone/Fax

Practice location:
  • Phone: 310-980-6329
  • Fax:
Mailing address:
  • Phone: 310-963-7396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMF001302
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMFT47608
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: