Provider Demographics
NPI:1285753566
Name:GOSS, SARAH HOPE (LMFT)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:HOPE
Last Name:GOSS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:HOPE
Other - Last Name:GOSS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:4182 N VIKING WAY STE 205
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-1491
Mailing Address - Country:US
Mailing Address - Phone:310-896-5399
Mailing Address - Fax:562-453-3884
Practice Address - Street 1:4182 N VIKING WAY STE 205
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-1491
Practice Address - Country:US
Practice Address - Phone:310-896-5399
Practice Address - Fax:562-453-3884
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 53029106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist