Healthcare Provider Details

I. General information

NPI: 1629424189
Provider Name (Legal Business Name): LERA ASHE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2016
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21151 S WESTERN AVE STE 237
TORRANCE CA
90501-1724
US

IV. Provider business mailing address

21151 S WESTERN AVE STE 237
TORRANCE CA
90501-1724
US

V. Phone/Fax

Practice location:
  • Phone: 213-248-9726
  • Fax:
Mailing address:
  • Phone: 213-248-9726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number102614
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberBBH-LMFT-LIC-63308
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberT2999
License Number StateOR
# 4
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number119199
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: