MEDICARE: LAUREN NEELY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1730045279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN NEELY

Provider Business Mailing Address
First Line	:	2150 PICKWICK DR # 304
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93010-9998
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 TEMPLE AVE
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93010-4833
Country	:	US
Telephone Number	:	855-900-7325
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	12/29/2025

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Directions to “ LAUREN NEELY ” Practice Location

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