Healthcare Provider Details

I. General information

NPI: 1578918389
Provider Name (Legal Business Name): YASAMAN SHARIFI LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2016
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2625 TOWNSGATE RD STE 330
WESTLAKE VILLAGE CA
91361-5749
US

IV. Provider business mailing address

2625 TOWNSGATE RD STE 330
WESTLAKE VILLAGE CA
91361-5749
US

V. Phone/Fax

Practice location:
  • Phone: 805-871-6023
  • Fax:
Mailing address:
  • Phone: 805-871-6023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number100716
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number140610
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: