Healthcare Provider Details

I. General information

NPI: 1851208821
Provider Name (Legal Business Name): FAY GARDNER AMFT, APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FAY STEIGER

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3625 E THOUSAND OAKS BLVD STE 345
WESTLAKE VILLAGE CA
91362-3583
US

IV. Provider business mailing address

3625 E THOUSAND OAKS BLVD STE 345
WESTLAKE VILLAGE CA
91362-3583
US

V. Phone/Fax

Practice location:
  • Phone: 805-464-6865
  • Fax:
Mailing address:
  • Phone: 805-464-6865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number23586
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number164998
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: