Healthcare Provider Details

I. General information

NPI: 1447170246
Provider Name (Legal Business Name): TARA SCHLEIEN AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E THOUSAND OAKS BLVD STE 225
THOUSAND OAKS CA
91360-8132
US

IV. Provider business mailing address

617 CINNABAR PL
SIMI VALLEY CA
93065-7209
US

V. Phone/Fax

Practice location:
  • Phone: 805-320-5712
  • Fax:
Mailing address:
  • Phone: 805-320-5712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number160690
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: