Healthcare Provider Details

I. General information

NPI: 1508210444
Provider Name (Legal Business Name): BURNETT THERAPEUTIC SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2016
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3419 VALLE VERDE DR
NAPA CA
94558-2414
US

IV. Provider business mailing address

3419 VALLE VERDE DR
NAPA CA
94558-2414
US

V. Phone/Fax

Practice location:
  • Phone: 707-227-4448
  • Fax: 707-635-8215
Mailing address:
  • Phone: 707-227-4448
  • Fax: 707-635-8215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MITZE BURNETT
Title or Position: OWNER
Credential:
Phone: 707-227-4448