ALLISON LIEBERMAN, LMFT, INC


Address: 28310 Roadside Dr Ste 212, Agoura Hills, CA 91301-4953
Phone: 8059176860

ALLISON LIEBERMAN, LMFT, INC (NPI# 1558990812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558990812
Entity Type Organization
Organization Name ALLISON LIEBERMAN, LMFT, INC
Practice Address 28310 Roadside Dr Ste 212
Agoura Hills
CA 91301-4953
Mailing Address 2218 Olivewood Dr
Thousand Oaks
CA 91362-1542
Practice Telephone 8059176860
Mailing Telephone 8059176860
Enumeration Date 2020-04-07
Last Update Date 2020-04-07
Authorized Official Name ALLISON LIEBERMAN (PRESIDENT/CEO)
Authorized Official Telephone 8059176860
Authorized Official Credential LMFT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health Agencies
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 28310 ROADSIDE DR STE 212
City AGOURA HILLS
State CA
Zip Code 91301-4953

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NPI Name Taxonomy Address Enumeration
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1760851224 Robert Kevin Ryan Counselor 28310 Roadside Drive Suite 235, Agoura Hills, CA 91301 2015-09-15
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1821401787 Brandie Boghosian Psychologist 30200 Agoura Rd Ste 190, Agoura, CA 91301 2014-06-09
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1588905574 Irit Almog Marriage & Family Therapist 5308 Derry Ave Ste L201, Agoura Hills, CA 91301 2013-03-15
1902152507 Bethany Vaudrey Psychologist 28328 Agoura Rd Ste 102, Agoura Hills, CA 91301 2012-08-01
1508142472 Jill Torres Psychologist 28729 Roadside Dr Ste 151, Agoura Hills, CA 91301 2011-10-24
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659800357 California Neuromodulation and Brain Health Clinic/Center 30200 Agoura Rd Ste 200, Agoura Hills, CA 91301-5433 2017-06-06

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1013523174 Vitalis Wellness Center Inc. Clinic/Center 1519 Constitution Blvd Apt 201, Salinas, CA 93906-3150 2020-09-23
1083220453 Sasha Jackson, LLC Clinic/Center 480 Ridge Creek Ln, Patterson, CA 95363-8776 2020-09-21
1003422486 Nicholas Patrick Brown, Do Clinic/Center 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 2020-09-21
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1184238875 Integrative Psychotherapy Group, A Marriage and Family Therapy Corp Clinic/Center 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 2020-09-01
1962016527 Los Angeles County Department of Mental Health Clinic/Center 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 2020-09-01
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Competitor

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City AGOURA HILLS
Zip Code 91301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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