Healthcare Provider Details

I. General information

NPI: 1457540924
Provider Name (Legal Business Name): CARLA J. CROSS MA, LMFT, ATR-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2007
Last Update Date: 08/04/2023
Certification Date: 08/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 CAMINO DEL REMEDIO
SANTA BARBARA CA
93110-1332
US

IV. Provider business mailing address

13177 TRIPOLI AVE
SYLMAR CA
91342-3231
US

V. Phone/Fax

Practice location:
  • Phone: 805-865-0027
  • Fax:
Mailing address:
  • Phone: 818-378-6465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC32581
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: