Provider Demographics
NPI:1235393075
Name:FYE, VICTORIA (LCSW)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:
Last Name:FYE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2189 PIERPONT BLVD
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-3860
Mailing Address - Country:US
Mailing Address - Phone:661-803-7743
Mailing Address - Fax:
Practice Address - Street 1:27800 MCBEAN PARKWAY
Practice Address - Street 2:NO. 370
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91354
Practice Address - Country:US
Practice Address - Phone:661-803-7743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 225400000X, 374700000X
CA911231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No374700000XNursing Service Related ProvidersTechnician