Healthcare Provider Details

I. General information

NPI: 1336057546
Provider Name (Legal Business Name): NATALIE GREENFIELD AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23552 VENISIA
LAGUNA HILLS CA
92653-1932
US

IV. Provider business mailing address

23552 VENISIA
LAGUNA HILLS CA
92653-1932
US

V. Phone/Fax

Practice location:
  • Phone: 949-939-4911
  • Fax:
Mailing address:
  • Phone: 949-939-4911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT164723
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: