NPI Code Details Logo

NPI 1679491799

NPI 1679491799 : ELLEN OTTMAN, LICENSED MARRIAGE & FAMILY THERAPIST, INC. : SAN FRANCISCO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1679491799
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ELLEN OTTMAN, LICENSED MARRIAGE & FAMILY THERAPIST, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/07/2026
-----------------------------------------------------
    Last Update Date     |    07/07/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2354 POST ST STE D 
-----------------------------------------------------
    City                 |    SAN FRANCISCO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94115-3424
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    415-579-3371
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    31 PINEHURST RD 
-----------------------------------------------------
    City                 |    ASHEVILLE
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28805-2308
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    562-618-4788
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    FOUNDER, THERAPIST
-----------------------------------------------------
    Name                 |     ELLEN  OTTMAN 
-----------------------------------------------------
    Credential           |    LMFT
-----------------------------------------------------
    Telephone            |    415-579-3371
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.