Healthcare Provider Details

I. General information

NPI: 1336867209
Provider Name (Legal Business Name): RAMI ANABTAWI LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2022
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 LINCOLN
IRVINE CA
92604-1926
US

IV. Provider business mailing address

1 LINCOLN
IRVINE CA
92604-1926
US

V. Phone/Fax

Practice location:
  • Phone: 415-608-9044
  • Fax:
Mailing address:
  • Phone: 415-608-9044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number154164
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: