1700038411 NPI number — MS. MONICA M ZAVALA LMFT, QMHP

Table of content: MS. MONICA M ZAVALA LMFT, QMHP (NPI 1700038411)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700038411 NPI number — MS. MONICA M ZAVALA LMFT, QMHP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZAVALA
Provider First Name:
MONICA
Provider Middle Name:
M
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMFT, QMHP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ZAVALA
Provider Other First Name:
MONICA
Provider Other Middle Name:
M
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMFT, QMHP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1700038411
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/22/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
226 W OJAI AVE STE 101-180
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OJAI
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93023-3277
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-707-4625
Provider Business Mailing Address Fax Number:
805-232-3224

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
226 W OJAI AVE STE 101-180
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OJAI
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93023-3277
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-707-4625
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/14/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  T1115 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X , with the licence number: 86616 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)