MEDICARE: MRS. OLIVIA LIEVE YOLANDE DE PAUW AMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	AMFT147211	CA

General Provider Information

NPI Number	:	1235097338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. OLIVIA LIEVE YOLANDE DE PAUW AMFT

Provider Business Mailing Address
First Line	:	2859 VENEZIA TER
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-6603
Country	:	US
Telephone Number	:	909-378-0833
Fax Number	:

Provider Business Practice Location Address
First Line	:	23181 LA CADENA DR STE 101
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-1479
Country	:	US
Telephone Number	:	760-500-3325
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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