Healthcare Provider Details

I. General information

NPI: 1770411365
Provider Name (Legal Business Name): LAURA MITCHELL MASKREY AMFT, APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

923 OLIVE ST STE 1
SANTA BARBARA CA
93101-1447
US

IV. Provider business mailing address

7484 SEA GULL DR
GOLETA CA
93117-2507
US

V. Phone/Fax

Practice location:
  • Phone: 805-500-6759
  • Fax: 805-568-1451
Mailing address:
  • Phone: 805-455-1653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number152752
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: