Healthcare Provider Details

I. General information

NPI: 1760735476
Provider Name (Legal Business Name): COLETTE ROTMIL CADC II, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2012
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18646 OXNARD ST. TARZANA TREATMENT CENTER
TARZANA CA
91356
US

IV. Provider business mailing address

18646 OXNARD ST TARZANA TREATMENT CENTER
TARZANA CA
91356
US

V. Phone/Fax

Practice location:
  • Phone: 818-996-1051
  • Fax: 818-345-3778
Mailing address:
  • Phone: 818-996-1051
  • Fax: 818-345-3778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC4680
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: