CHRISTIANA DORIAN GROTLISCH ASW NPI 1922511401

NPI Information

NPI: 1922511401
Provider Name: CHRISTIANA DORIAN GROTLISCH, ASW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
31450 BROAD BEACH RD
MALIBU, CA
ZIP 90265
Phone: (310) 881-8457
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Christiana Dorian Grotlisch, ASW is a mental health counselor in Malibu, CA. Christiana Dorian Grotlisch, ASW NPI is 1922511401. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

31450 BROAD BEACH RD
MALIBU, CA
ZIP 90265-669
Phone: (310) 881-8457

The enumeration date for this NPI number is 11/7/2017 and was last updated on 1/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health	98118	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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