Healthcare Provider Details

I. General information

NPI: 1164089264
Provider Name (Legal Business Name): ALEXANDER FRENKEL LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2019
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6507 WOODMAN AVE SUITE 103
VAN NUYS CA
91401-1642
US

IV. Provider business mailing address

6507 WOODMAN AVE APT 103
VAN NUYS CA
91401-1642
US

V. Phone/Fax

Practice location:
  • Phone: 818-810-7072
  • Fax:
Mailing address:
  • Phone: 818-810-7072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number158737
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: