Individual provider · Type 1 NPI

Lysatis Lenaya Edmond

Professional Counselor · Culver City, CA

NPI number 1740152172 Active

Practice location

9808 Venice Blvd Ste 700
Culver City, CA 90232-6824

Call (310) 945-3350 Map

Fax (310) 945-3356

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist 373H00000XNone listed
Professional Counselor Primary 101YP2500X20826 (CA)

Professional Counselor: Definition to come...

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About NPI 1740152172

Lysatis Lenaya Edmond's National Provider Identifier is 1740152172, issued on Sep 23, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Culver City, CA. The record was last updated on Oct 16, 2025.