Provider Demographics
NPI:1427634799
Name:O'BRYAN, HALEY CHRISTINA (LMFT)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:CHRISTINA
Last Name:O'BRYAN
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 1:5205 E OCEAN BLVD APT 6
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-6919
Mailing Address - Country:US
Mailing Address - Phone:949-806-5987
Mailing Address - Fax:
Practice Address - Street 1:5205 E OCEAN BLVD APT 6
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-6919
Practice Address - Country:US
Practice Address - Phone:310-351-5984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-18
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTPMF1383106H00000X
CA137351106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist