Healthcare Provider Details

I. General information

NPI: 1326309998
Provider Name (Legal Business Name): SARA HOUT M.S., LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA MUNOZ M.S., LMFT

II. Dates (important events)

Enumeration Date: 05/31/2012
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 W 34TH ST STE 500
LOS ANGELES CA
90089-5406
US

IV. Provider business mailing address

PO BOX 31309
LOS ANGELES CA
90031-0309
US

V. Phone/Fax

Practice location:
  • Phone: 213-821-6500
  • Fax:
Mailing address:
  • Phone: 213-821-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT106677
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: