Healthcare Provider Details
I. General information
NPI: 1023933173
Provider Name (Legal Business Name): SAGE AND CEDAR THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16530 VENTURA BLVD STE 400
ENCINO CA
91436-4551
US
IV. Provider business mailing address
7121 WOODLEY AVE APT 125
VAN NUYS CA
91406-3974
US
V. Phone/Fax
- Phone: 747-777-6187
- Fax:
- Phone: 818-223-7729
- 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
ASMARIAN
Title or Position: MARRIAGE AND FAMILY THERAPIST
Credential: MS, LMFT
Phone: 818-223-7729