Provider Demographics
NPI:1316066624
Name:BRIGGS, LENORA (LMFT)
Entity type:Individual
Prefix:MS
First Name:LENORA
Middle Name:
Last Name:BRIGGS
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:PO BOX 901472
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93590-1472
Mailing Address - Country:US
Mailing Address - Phone:661-998-9175
Mailing Address - Fax:
Practice Address - Street 1:190 SIERRA CT STE B111
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-7605
Practice Address - Country:US
Practice Address - Phone:661-998-9175
Practice Address - Fax:855-611-8208
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 51780106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00007301Medicaid
CACBSC752OtherLA DMH PROVIDER