1730425653 NPI number — LAURA C STROM M.S., LMFT, LPCC

Table of content: LAURA C STROM M.S., LMFT, LPCC (NPI 1730425653)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730425653 NPI number — LAURA C STROM M.S., LMFT, LPCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STROM
Provider First Name:
LAURA
Provider Middle Name:
C
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.S., LMFT, LPCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730425653
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/20/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 353
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONTE RIO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95462-0353
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
707-889-9168
Provider Business Mailing Address Fax Number:
707-865-9707

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3442 MENDOCINO AVE
Provider Second Line Business Practice Location Address:
SUITE A, BLDG E
Provider Business Practice Location Address City Name:
SANTA ROSA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95403-2221
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-889-9168
Provider Business Practice Location Address Fax Number:
707-865-9707
Provider Enumeration Date:
12/20/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  LPC149 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X , with the licence number: MFC49174 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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