Healthcare Provider Details

I. General information

NPI: 1295655462
Provider Name (Legal Business Name): MEGHAN FLORES AMFT, APCC, PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4880 MARKET ST
VENTURA CA
93003-7783
US

IV. Provider business mailing address

17101 GREENTREE LN
HUNTINGTON BEACH CA
92649-4025
US

V. Phone/Fax

Practice location:
  • Phone: 805-364-8521
  • Fax:
Mailing address:
  • Phone: 714-887-4466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number164056
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: