Healthcare Provider Details

I. General information

NPI: 1730790940
Provider Name (Legal Business Name): AVNEESH KATARIYA LMFT, MA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2020
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24422 AVENIDA DE LA CARLOTA
LAGUNA HILLS CA
92653-3636
US

IV. Provider business mailing address

24422 AVENIDA DE LA CARLOTA
LAGUNA HILLS CA
92653-3636
US

V. Phone/Fax

Practice location:
  • Phone: 800-801-9833
  • Fax:
Mailing address:
  • Phone: 800-801-9833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number157903
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: