Healthcare Provider Details

I. General information

NPI: 1750202586
Provider Name (Legal Business Name): PILAR CARMEN GARZON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 HODENCAMP RD STE 204
THOUSAND OAKS CA
91360-5817
US

IV. Provider business mailing address

10030 OWENSMOUTH AVE UNIT 55
CHATSWORTH CA
91311-3821
US

V. Phone/Fax

Practice location:
  • Phone: 818-277-9124
  • Fax:
Mailing address:
  • Phone: 818-277-9124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number21108
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number159215
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: