Provider Demographics
NPI:1508529587
Name:WESTLAKE VILLAGE COUNSELING CENTER
Entity Type:Organization
Organization Name:WESTLAKE VILLAGE COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:805-390-8180
Mailing Address - Street 1:5743 CORSA AVE STE 221
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-6451
Mailing Address - Country:US
Mailing Address - Phone:805-390-8180
Mailing Address - Fax:
Practice Address - Street 1:5743 CORSA AVE STE 221
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-6451
Practice Address - Country:US
Practice Address - Phone:805-390-8180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)