Healthcare Provider Details

I. General information

NPI: 1609702356
Provider Name (Legal Business Name): LINDA CROWFOOT AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16800 DEVONSHIRE ST STE 303
GRANADA HILLS CA
91344-7410
US

IV. Provider business mailing address

16800 DEVONSHIRE ST STE 303
GRANADA HILLS CA
91344-7410
US

V. Phone/Fax

Practice location:
  • Phone: 818-309-7440
  • Fax: 818-217-4699
Mailing address:
  • Phone: 818-309-7440
  • Fax: 818-217-4699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAMFT137657
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: