Provider Demographics
NPI:1992294029
Name:BARLAHAN, CHRISSY (LMFT)
Entity type:Individual
Prefix:MRS
First Name:CHRISSY
Middle Name:
Last Name:BARLAHAN
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 1:4067 NEWTON ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-6424
Mailing Address - Country:US
Mailing Address - Phone:702-580-6644
Mailing Address - Fax:
Practice Address - Street 1:1617 S PACIFIC COAST HWY STE E
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-5612
Practice Address - Country:US
Practice Address - Phone:702-546-8234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-03
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA135450106H00000X
NVMI1223106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1992294029OtherPRIVATE PRACTICE