Healthcare Provider Details

I. General information

NPI: 1780944348
Provider Name (Legal Business Name): JANELLE MORROW MHA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JANELLE LOPEZ LVN

II. Dates (important events)

Enumeration Date: 05/16/2012
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5583 INDIAN HILLS DR
SIMI VALLEY CA
93063-2027
US

IV. Provider business mailing address

501 MARIN ST STE 225
THOUSAND OAKS CA
91360-4301
US

V. Phone/Fax

Practice location:
  • Phone: 805-721-6224
  • Fax:
Mailing address:
  • Phone: 805-356-3634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number2541431
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: