Individual
LYSATIS LENAYA EDMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9808 VENICE BLVD STE 700, CULVER CITY, CA 90232-6824
(310) 945-3350
(310) 945-3356
Mailing address
9808 VENICE BLVD STE 700, CULVER CITY, CA 90232-6824
(310) 945-3350
(310) 945-3356
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
20826
CA
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
09/23/2025
Last updated
10/16/2025
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