Healthcare Provider Details

I. General information

NPI: 1669926630
Provider Name (Legal Business Name): LISA FRANCES HOROWITZ LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2016
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

166 SANTA CLARA AVE
OAKLAND CA
94610-1323
US

IV. Provider business mailing address

195 41ST ST UNIT 11069
OAKLAND CA
94611-7002
US

V. Phone/Fax

Practice location:
  • Phone: 510-993-0604
  • Fax:
Mailing address:
  • Phone: 510-993-0604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number107635
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: