LIZA L BOLANOS
NPI 1871840009
Marriage & Family Therapist in San Diego, CA

Q: What is Liza Bolanos's NPI number?

The NPI number for Liza Bolanos is 1871840009. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Q: What is Liza Bolanos's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Liza Bolanos was last updated on January 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 07, 2012

1051 PICADOR BLVD, SAN DIEGO, CA 92154(619) 628-3665 Get Directions Write a Review

NPPES record last updated: January 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Liza L Bolanos NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIZA L BOLANOS (NPI 1871840009) is an individual marriage & family therapist in San Diego, California, licensed in California (LMFT94583) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1871840009

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameLIZA L BOLANOS

Location Address1051 PICADOR BLVDSan Diego, CA 92154-3548

Mailing Address2351 Cardinal Lane, Annex BSan Diego, CA 92123 · (858) 573-2227 · Fax (858) 496-2113

Phone(619) 628-3665

Sole ProprietorNo

Enumeration DateAugust 7, 2012

Last NPPES UpdateJanuary 29, 2019

✔ NPI 1871840009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · LMFT94583

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1051 PICADOR BLVD, San Diego, CA 92154

Open in Google Maps ↗

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YAEL GABRIELA FLORES

Social Worker (Clinical)