Individual provider · Type 1 NPI

Mariel Renee Tivoli

Mental Health Counselor · Valley Village, CA

NPI number 1245158807 Active

Practice location

12626 Riverside Dr Ste 409
Valley Village, CA 91607-3451

Mailing address

2323 S Beverly Glen Blvd Unit 2
Los Angeles, CA 90064-2591

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XAPCC22660 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1245158807

Mariel Renee Tivoli's National Provider Identifier is 1245158807, issued on Jul 9, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Valley Village, CA. The record was last updated on Jul 9, 2026.