Healthcare Provider Details

I. General information

NPI: 1437080959
Provider Name (Legal Business Name): MARGOT HOTTUM PARKER MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

885 TAMLEI AVE
THOUSAND OAKS CA
91362-2337
US

IV. Provider business mailing address

885 TAMLEI AVE
THOUSAND OAKS CA
91362-2337
US

V. Phone/Fax

Practice location:
  • Phone: 805-244-5351
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number115651
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: