Healthcare Provider Details

I. General information

NPI: 1669239679
Provider Name (Legal Business Name): MS. EDITH DARLING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2024
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14530 SYLVAN ST
VAN NUYS CA
91411-2324
US

IV. Provider business mailing address

152 S SYCAMORE AVE APT 304
LOS ANGELES CA
90036-2932
US

V. Phone/Fax

Practice location:
  • Phone: 818-582-8832
  • Fax: 818-582-8836
Mailing address:
  • Phone: 213-308-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number19363
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: