Healthcare Provider Details

I. General information

NPI: 1801987540
Provider Name (Legal Business Name): KRISTIE MEYER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1776 HAMILTON STREET
SIMI VALLEY CA
93065
US

IV. Provider business mailing address

1776 HAMILTON STREET
SIMI VALLEY CA
93065
US

V. Phone/Fax

Practice location:
  • Phone: 714-686-4176
  • Fax:
Mailing address:
  • Phone: 714-686-4176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC24713
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: