Healthcare Provider Details

I. General information

NPI: 1720264229
Provider Name (Legal Business Name): MS. DANA LIVNEH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2008
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 S ORCHARD AVE
UKIAH CA
95482-5011
US

IV. Provider business mailing address

631 S ORCHARD AVE
UKIAH CA
95482-5011
US

V. Phone/Fax

Practice location:
  • Phone: 707-467-2010
  • Fax:
Mailing address:
  • Phone: 707-467-2010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number160451
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: