Healthcare Provider Details

I. General information

NPI: 1215380555
Provider Name (Legal Business Name): SANDRA MICHELLE NARVAEZ LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2016
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2555 E COLORADO BLVD STE 308
PASADENA CA
91107-6649
US

IV. Provider business mailing address

PO BOX 19712
SAN DIEGO CA
92159-0712
US

V. Phone/Fax

Practice location:
  • Phone: 818-683-2818
  • Fax: 818-745-8136
Mailing address:
  • Phone: 818-683-2818
  • Fax: 818-745-8136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number118722
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: