Healthcare Provider Details

I. General information

NPI: 1609683770
Provider Name (Legal Business Name): EMPOWERMENT OASIS FAMILY THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2024
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4333 PARK TERRACE DR STE 150
WESTLAKE VILLAGE CA
91361-5652
US

IV. Provider business mailing address

1014 S WESTLAKE BLVD # 14-262
WESTLAKE VILLAGE CA
91361-3108
US

V. Phone/Fax

Practice location:
  • Phone: 323-363-2664
  • Fax: 818-991-2060
Mailing address:
  • Phone: 323-363-2664
  • Fax: 818-991-2060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DENISE CROVETTI
Title or Position: OWNER
Credential: LMFT
Phone: 323-363-2664