Provider Demographics
NPI:1144490228
Name:SIMI, LEO LOUIS (LMFT)
Entity type:Individual
Prefix:MR
First Name:LEO
Middle Name:LOUIS
Last Name:SIMI
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 ALBERTA ST
Mailing Address - Street 2:
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91001-5417
Mailing Address - Country:US
Mailing Address - Phone:618-022-6416
Mailing Address - Fax:
Practice Address - Street 1:8240 BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90606-3120
Practice Address - Country:US
Practice Address - Phone:213-925-3376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-05
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 46780106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist