Provider Demographics
NPI:1275886400
Name:BERNITA BRAZIER
Entity Type:Organization
Organization Name:BERNITA BRAZIER
Other - Org Name:JUST BEING HEALTHY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:BERNITA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:NCBMTB, RNC, BS
Authorized Official - Phone:805-901-6832
Mailing Address - Street 1:3400 LOMA VISTA RD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-3033
Mailing Address - Country:US
Mailing Address - Phone:805-850-0198
Mailing Address - Fax:
Practice Address - Street 1:3400 LOMA VISTA RD
Practice Address - Street 2:SUITE 12
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3033
Practice Address - Country:US
Practice Address - Phone:805-850-0198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA221057101Y00000X
CA101006133NN1002X
CA5170172M00000X, 173C00000X
CA28407172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173C00000XOther Service ProvidersReflexologistGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No172M00000XOther Service ProvidersMechanotherapistGroup - Multi-Specialty