Healthcare Provider Details

I. General information

NPI: 1407540628
Provider Name (Legal Business Name): MRS. LINDSAY R LA BELLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2023
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5743 CORSA AVE STE 112
WESTLAKE VILLAGE CA
91362-6441
US

IV. Provider business mailing address

5743 CORSA AVE STE 112
WESTLAKE VILLAGE CA
91362-6441
US

V. Phone/Fax

Practice location:
  • Phone: 818-584-2792
  • Fax:
Mailing address:
  • Phone: 805-630-3455
  • Fax: 818-584-2792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLMFT497391
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: