Healthcare Provider Details

I. General information

NPI: 1225964505
Provider Name (Legal Business Name): MAYKAYLA MELODY MARISCAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1726 N GOWER ST APT 318
LOS ANGELES CA
90028-5358
US

IV. Provider business mailing address

1726 N GOWER ST APT 318
LOS ANGELES CA
90028-5358
US

V. Phone/Fax

Practice location:
  • Phone: 323-622-5618
  • Fax:
Mailing address:
  • Phone: 323-622-5618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: