Healthcare Provider Details

I. General information

NPI: 1891223343
Provider Name (Legal Business Name): COURTNEY MICHEL WHITTINGTON LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2017
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date: 04/23/2026
Reactivation Date: 08/06/2026

III. Provider practice location address

15760 VENTURA BLVD STE 800
ENCINO CA
91436-3018
US

IV. Provider business mailing address

5776 LINDERO CANYON RD STE D
WESTLAKE VILLAGE CA
91362-6419
US

V. Phone/Fax

Practice location:
  • Phone: 888-588-8995
  • Fax:
Mailing address:
  • Phone: 805-910-7782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number147132
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: