Healthcare Provider Details

I. General information

NPI: 1144710963
Provider Name (Legal Business Name): BRANDY ANE ZIRIAX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2018
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5392 LAFAYETTE ST
VENTURA CA
93003-4232
US

IV. Provider business mailing address

PO BOX 7776
VENTURA CA
93006-7776
US

V. Phone/Fax

Practice location:
  • Phone: 805-766-8025
  • Fax:
Mailing address:
  • Phone: 805-766-8025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: