Healthcare Provider Details

I. General information

NPI: 1679491799
Provider Name (Legal Business Name): ELLEN OTTMAN, LICENSED MARRIAGE & FAMILY THERAPIST, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2354 POST ST STE D
SAN FRANCISCO CA
94115-3424
US

IV. Provider business mailing address

31 PINEHURST RD
ASHEVILLE NC
28805-2308
US

V. Phone/Fax

Practice location:
  • Phone: 415-579-3371
  • Fax:
Mailing address:
  • Phone: 562-618-4788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ELLEN OTTMAN
Title or Position: FOUNDER, THERAPIST
Credential: LMFT
Phone: 415-579-3371