Individual
LAVEITA CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10605 BALBOA BLVD, #100, GRANADA HILLS, CA 91344-6342
(818) 832-2400
Mailing address
10605 BALBOA BLVD, #100, GRANADA HILLS, CA 91344-6342
(818) 832-2400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95408915
CA
172V00000X
Community Health Worker
—
—
Other
Enumeration date
05/03/2017
Last updated
08/12/2025
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