Provider Demographics
NPI:1053540294
Name:BEGELFOR, ELLA (MFT)
Entity type:Individual
Prefix:MRS
First Name:ELLA
Middle Name:
Last Name:BEGELFOR
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21241 VENTURA BLVD STE 262
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2186
Mailing Address - Country:US
Mailing Address - Phone:818-207-1191
Mailing Address - Fax:
Practice Address - Street 1:21241 VENTURA BLVD STE 262
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2186
Practice Address - Country:US
Practice Address - Phone:818-207-1191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-09
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47405101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health