Healthcare Provider Details

I. General information

NPI: 1801338587
Provider Name (Legal Business Name): STEFANIE HAMAMI MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEFANIE ECKSTEIN

II. Dates (important events)

Enumeration Date: 11/10/2016
Last Update Date: 10/13/2020
Certification Date: 10/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 HURLBUT ST.
PASADENA CA
91105
US

IV. Provider business mailing address

1905 WILCOX AVE. #444
LOS ANGELES CA
90068
US

V. Phone/Fax

Practice location:
  • Phone: 626-441-4221
  • Fax:
Mailing address:
  • Phone: 310-785-2121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1801338587
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number122148
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: