Provider Demographics
NPI:1225692163
Name:ZIMM, NATALIE (LMFT)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:ZIMM
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3808 W RIVERSIDE DR STE 505
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4394
Mailing Address - Country:US
Mailing Address - Phone:323-475-8703
Mailing Address - Fax:
Practice Address - Street 1:3808 W RIVERSIDE DR STE 505
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4394
Practice Address - Country:US
Practice Address - Phone:323-475-8703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-25
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA146911106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALMFT146911OtherBOARD OF BEHAVIORAL SCIENCE
CA10172OtherBBS