Healthcare Provider Details

I. General information

NPI: 1801344254
Provider Name (Legal Business Name): KRISTEN ALEA CROOYMANS MFTI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2016
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23824 HAWTHORNE BLVD STE 200
TORRANCE CA
90505-5935
US

IV. Provider business mailing address

22053 JODI PL
SANTA CLARITA CA
91350-4307
US

V. Phone/Fax

Practice location:
  • Phone: 626-393-9199
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT104885
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberIMF88748
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: