Provider Demographics
NPI:1053291567
Name:SOUZA, TRISHA K (LMFT)
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:K
Last Name:SOUZA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:633 ASCOT DR APT 133
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-4223
Mailing Address - Country:US
Mailing Address - Phone:510-289-3337
Mailing Address - Fax:
Practice Address - Street 1:633 ASCOT DR APT 133
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-4223
Practice Address - Country:US
Practice Address - Phone:510-289-3337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA156340106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist