Healthcare Provider Details

I. General information

NPI: 1437071222
Provider Name (Legal Business Name): AMBER COVE FAMILY THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1765 GOODYEAR AVE STE 201
VENTURA CA
93003-8026
US

IV. Provider business mailing address

P.O. BOX 1725 130 S. PATTERSON AVE.
SANTA BARBARA CA
93111-9998
US

V. Phone/Fax

Practice location:
  • Phone: 805-798-3875
  • Fax:
Mailing address:
  • Phone: 805-798-3875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: AIYANA CAZABAT
Title or Position: PRESIDENT
Credential: MA, LMFT
Phone: 805-798-3875