Provider Demographics
NPI:1811122294
Name:WINKLER, THEA MONYEE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:THEA
Middle Name:MONYEE
Last Name:WINKLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:THEA
Other - Middle Name:MONYEE
Other - Last Name:GRIFFITH-WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:P.O. BOX 8172
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90008
Mailing Address - Country:US
Mailing Address - Phone:310-902-6237
Mailing Address - Fax:323-733-3522
Practice Address - Street 1:3605 LONG BEACH BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-4013
Practice Address - Country:US
Practice Address - Phone:562-427-2006
Practice Address - Fax:562-427-2201
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-28
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
CALMFT83623106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist