Provider Demographics
NPI:1366111312
Name:FORD, TOBY SUE (LMFT)
Entity type:Individual
Prefix:
First Name:TOBY
Middle Name:SUE
Last Name:FORD
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 1:21851 NEWLAND ST SPC 255
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-7637
Mailing Address - Country:US
Mailing Address - Phone:714-852-7683
Mailing Address - Fax:
Practice Address - Street 1:21851 NEWLAND ST SPC 255
Practice Address - Street 2:
Practice Address - City:HUNTINGTN BCH
Practice Address - State:CA
Practice Address - Zip Code:92646-7637
Practice Address - Country:US
Practice Address - Phone:714-852-7683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-12
Last Update Date:2025-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA130803106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist