Provider Demographics
NPI:1992539530
Name:VENTURA COUNSELING AND WELLNESS GROUP
Entity type:Organization
Organization Name:VENTURA COUNSELING AND WELLNESS GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNETT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:805-620-8046
Mailing Address - Street 1:950 COUNTY SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-5410
Mailing Address - Country:US
Mailing Address - Phone:805-620-8046
Mailing Address - Fax:310-548-5050
Practice Address - Street 1:950 COUNTY SQUARE DR
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5410
Practice Address - Country:US
Practice Address - Phone:805-620-8046
Practice Address - Fax:310-548-5050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty