Healthcare Provider Details

I. General information

NPI: 1861313264
Provider Name (Legal Business Name): CENTER FOR THE SOUL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 MOBIL AVE STE 102A
CAMARILLO CA
93010-6356
US

IV. Provider business mailing address

2119 VANITA PL
CAMARILLO CA
93010-2073
US

V. Phone/Fax

Practice location:
  • Phone: 805-705-0549
  • Fax:
Mailing address:
  • Phone: 805-705-0549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID MORRIS BRIEN
Title or Position: EXECUTIVE DIRECTOR
Credential: FFIII, INSP 2, PM
Phone: 805-705-0549