Organization · Type 2 NPI
J D Bienenfeld MSW Licensed Clinical Social Workerc Corp Lighthouse Psychotherapy
Mental Health Clinic/Center (Including Community Mental Health Center) · West Toluca Lake, CA
NPI number
1982404919
Active
Practice location
11122 Riverside Dr Unit 101
West Toluca Lake, CA 91602-2186
Mailing address
4365 E Lowell St Ste H
Ontario, CA 91761-2226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
About NPI 1982404919
J D Bienenfeld MSW Licensed Clinical Social Workerc Corp Lighthouse Psychotherapy's National Provider Identifier is 1982404919, issued on Mar 18, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in West Toluca Lake, CA. The record was last updated on Aug 11, 2025.