Healthcare Provider Details

I. General information

NPI: 1164007845
Provider Name (Legal Business Name): JEFFREY LAWTON LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2021
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 W ARENAS RD STE 6
PALM SPRINGS CA
92262-6302
US

IV. Provider business mailing address

PO BOX 4881
PALM SPRINGS CA
92263-4881
US

V. Phone/Fax

Practice location:
  • Phone: 310-409-5211
  • Fax:
Mailing address:
  • Phone: 310-409-5211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: