Betty Omlor, LMFT
Individual provider Active NPI Marriage & Family Therapist · Wrightwood, CA
NPI 1962289017 · NPPES record last updated Jun 10, 2024
Key facts
- NPI
- 1962289017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT132862 (CA)
- Practice address
- 1420 Betty Street
Wrightwood, CA 92397-0481 - Phone
- (909) 319-1144
- NPI assigned
- Sep 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT132862 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT132862 | CA | Yes |
Addresses
Primary practice location
1420 Betty Street
Wrightwood, CA 92397-0481
Mailing address
P.O. Box 481
Wrightwood, CA 92397-0481
Phone (909) 319-1144
Other providers in Wrightwood, CA
- William R Fiorella
- Genderlab, Inc.
- Jauregui Wrightwood Chiropractic Care, Inc
- Mario Albert Jauregui
- Meaghan Martin Licensed Clinicial Social Worker Corporation
- Catherine Saldana
- Steve Sexton
- Seung K Shon
- Melissa K. Stratton
- Heather Williams
All providers in Wrightwood, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.