Healthcare Provider Details

I. General information

NPI: 1134703804
Provider Name (Legal Business Name): MARLEE ROBIN SIMON LPCC, MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2021
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3431 HIGHWOOD CT APT 139
SIMI VALLEY CA
93063-5376
US

IV. Provider business mailing address

3431 HIGHWOOD CT APT 139
SIMI VALLEY CA
93063-5376
US

V. Phone/Fax

Practice location:
  • Phone: 747-254-2998
  • Fax:
Mailing address:
  • Phone: 747-254-2998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC20635
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number12147
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: