Healthcare Provider Details

I. General information

NPI: 1225166192
Provider Name (Legal Business Name): LINNEA MARIE SHAPIRO FUCHS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINNEA MARIE SHAPIRO MFTI, LMFT

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 04/10/2024
Certification Date: 04/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W TOWN AND COUNTRY RD STE 1250
ORANGE CA
92868-4633
US

IV. Provider business mailing address

3563 S BARRINGTON AVE
LOS ANGELES CA
90066-2829
US

V. Phone/Fax

Practice location:
  • Phone: 646-687-4646
  • Fax: 844-222-4005
Mailing address:
  • Phone: 213-200-3729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number43811
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: