Provider Demographics
NPI:1487400651
Name:FEIG, MONIQUE (MA, AMFT)
Entity type:Individual
Prefix:
First Name:MONIQUE
Middle Name:
Last Name:FEIG
Suffix:
Gender:
Credentials:MA, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3720 DIXIE CANYON AVE
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-4826
Mailing Address - Country:US
Mailing Address - Phone:310-877-6941
Mailing Address - Fax:
Practice Address - Street 1:252 N LARCHMONT BLVD STE 202
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-3754
Practice Address - Country:US
Practice Address - Phone:310-402-2833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-27
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA150851106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist