Provider Demographics
NPI:1538543186
Name:YONOVA, ILIYANA ANDREEVA (LMFT)
Entity type:Individual
Prefix:
First Name:ILIYANA
Middle Name:ANDREEVA
Last Name:YONOVA
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 1:12605 VENTURA BLVD # 1078
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2415
Mailing Address - Country:US
Mailing Address - Phone:310-430-5088
Mailing Address - Fax:323-381-5958
Practice Address - Street 1:13126 1/4 VALLEYHEART DR
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-1980
Practice Address - Country:US
Practice Address - Phone:310-430-5088
Practice Address - Fax:323-381-5958
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-14
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA125440106H00000X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist