Healthcare Provider Details

I. General information

NPI: 1487595344
Provider Name (Legal Business Name): LISA HARVEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

699 S C ST
OXNARD CA
93030-7016
US

IV. Provider business mailing address

4325 W ROME BLVD APT 3107
N LAS VEGAS NV
89084-5488
US

V. Phone/Fax

Practice location:
  • Phone: 805-702-5554
  • Fax:
Mailing address:
  • Phone: 805-702-5554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: