Healthcare Provider Details

I. General information

NPI: 1861169385
Provider Name (Legal Business Name): LANHONGYU LV LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LUNA LV LMFT

II. Dates (important events)

Enumeration Date: 08/24/2021
Last Update Date: 09/06/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

647 VETERANS BLVD
REDWOOD CITY CA
94063-1408
US

IV. Provider business mailing address

809 LAUREL ST UNIT 955
SAN CARLOS CA
94070-7744
US

V. Phone/Fax

Practice location:
  • Phone: 415-993-0047
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number165061
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: