Healthcare Provider Details

I. General information

NPI: 1770806176
Provider Name (Legal Business Name): LORI HOLDREN SCOTT LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2010
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 WILLIAMS DR
OXNARD CA
93036-0617
US

IV. Provider business mailing address

1421 BAYVIEW DR APT 203
OXNARD CA
93035-2370
US

V. Phone/Fax

Practice location:
  • Phone: 866-998-2243
  • Fax:
Mailing address:
  • Phone: 805-616-2706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number105853
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: