Healthcare Provider Details

I. General information

NPI: 1548993405
Provider Name (Legal Business Name): TATYANA BARROSO LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2022
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 ORANGE DR
OXNARD CA
93036-1618
US

IV. Provider business mailing address

335 ORANGE DR
OXNARD CA
93036-1618
US

V. Phone/Fax

Practice location:
  • Phone: 805-236-8391
  • Fax:
Mailing address:
  • Phone: 805-236-8391
  • 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:
Title or Position:
Credential:
Phone: