Healthcare Provider Details

I. General information

NPI: 1235637885
Provider Name (Legal Business Name): MORGAN BRITTNEY MENDOZA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2018
Last Update Date: 05/03/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 E HILLCREST DR STE 115
THOUSAND OAKS CA
91360-7782
US

IV. Provider business mailing address

385 TOWNSITE PROMENADE
CAMARILLO CA
93010-7727
US

V. Phone/Fax

Practice location:
  • Phone: 805-710-4051
  • Fax:
Mailing address:
  • Phone: 805-710-4051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number142678
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: