Provider Demographics
NPI:1306502042
Name:SCHLICHTING, LADAN (LMFT)
Entity type:Individual
Prefix:
First Name:LADAN
Middle Name:
Last Name:SCHLICHTING
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-4436
Mailing Address - Country:US
Mailing Address - Phone:610-955-5911
Mailing Address - Fax:
Practice Address - Street 1:10350 SANTA MONICA BLVD STE 310
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5075
Practice Address - Country:US
Practice Address - Phone:833-868-6888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLMFT33375106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist