Provider Demographics
NPI:1871521930
Name:VOTAW, LANI LYNN (MFT)
Entity type:Individual
Prefix:
First Name:LANI
Middle Name:LYNN
Last Name:VOTAW
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 W MISSION ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2819
Mailing Address - Country:US
Mailing Address - Phone:805-568-5955
Mailing Address - Fax:805-563-9045
Practice Address - Street 1:106 W MISSION ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2819
Practice Address - Country:US
Practice Address - Phone:805-568-5955
Practice Address - Fax:805-563-9045
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC35531101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health