Healthcare Provider Details

I. General information

NPI: 1205748969
Provider Name (Legal Business Name): HORIZON FAMILY COUNSELING GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 ROSECRANS AVE STE 300
MANHATTAN BEACH CA
90266-2494
US

IV. Provider business mailing address

1230 ROSECRANS AVE STE 300
MANHATTAN BEACH CA
90266-2494
US

V. Phone/Fax

Practice location:
  • Phone: 424-265-3730
  • Fax:
Mailing address:
  • Phone: 424-265-3730
  • 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: MRS. FABIOLA LAZARTE OCAMPO
Title or Position: CEO
Credential: LMFT
Phone: 424-265-3730