Healthcare Provider Details

I. General information

NPI: 1477914604
Provider Name (Legal Business Name): SARAH FRANK JARVIS LMFT, ATR-BC, CGP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH MICHELE FRANK

II. Dates (important events)

Enumeration Date: 03/16/2016
Last Update Date: 06/09/2022
Certification Date: 06/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8724 MAYA PL
NORTH HILLS CA
91343-4800
US

IV. Provider business mailing address

16029 OLYMPIAD LN B
VAN NUYS CA
91406-5900
US

V. Phone/Fax

Practice location:
  • Phone: 818-325-5865
  • Fax:
Mailing address:
  • Phone: 818-325-5865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number15-211
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number90725
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: