Provider Demographics
NPI:1578261103
Name:SEMILLAS COUNSELING & WELLNESS LICENSED CLINICAL SOCIAL WORKER, INC.
Entity Type:Organization
Organization Name:SEMILLAS COUNSELING & WELLNESS LICENSED CLINICAL SOCIAL WORKER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:CORTEZ
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:805-491-6443
Mailing Address - Street 1:1237 S VICTORIA AVE # 125
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93035-1292
Mailing Address - Country:US
Mailing Address - Phone:805-491-6443
Mailing Address - Fax:
Practice Address - Street 1:721 S A ST STE A
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-7179
Practice Address - Country:US
Practice Address - Phone:805-491-6443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health