Healthcare Provider Details

I. General information

NPI: 1801461637
Provider Name (Legal Business Name): LEANA ELENA GUTIERREZ LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2021
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 ENCINA RD STE A
GOLETA CA
93117-2270
US

IV. Provider business mailing address

PO BOX 91054
SANTA BARBARA CA
93190-1054
US

V. Phone/Fax

Practice location:
  • Phone: 805-798-3723
  • Fax:
Mailing address:
  • Phone: 805-403-3134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number159079
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: