Healthcare Provider Details

I. General information

NPI: 1053767608
Provider Name (Legal Business Name): BRITNEY CANTU LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2016
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81798 VILLA GIARDINO DR
INDIO CA
92203-7707
US

IV. Provider business mailing address

81798 VILLA GIARDINO DR
INDIO CA
92203-7707
US

V. Phone/Fax

Practice location:
  • Phone: 760-565-2306
  • Fax:
Mailing address:
  • Phone: 760-565-2306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT124328
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: