Healthcare Provider Details

I. General information

NPI: 1598641144
Provider Name (Legal Business Name): ASHLEIGH C ABRAMOVICI AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

31450 BROAD BEACH RD
MALIBU CA
90265-2669
US

IV. Provider business mailing address

29160 HEATHERCLIFF RD FL 1 PO BOX 4021
MALIBU CA
90265-6316
US

V. Phone/Fax

Practice location:
  • Phone: 310-448-1413
  • Fax:
Mailing address:
  • Phone: 310-433-1327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number155333
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: