Provider Demographics
NPI:1710469945
Name:AMRITA KAUR KATARIA
Entity Type:Organization
Organization Name:AMRITA KAUR KATARIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LPC
Authorized Official - Prefix:
Authorized Official - First Name:AMRITA
Authorized Official - Middle Name:
Authorized Official - Last Name:KATARIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-373-9721
Mailing Address - Street 1:3041 THAMES RIVER DR
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-5338
Mailing Address - Country:US
Mailing Address - Phone:407-373-9721
Mailing Address - Fax:
Practice Address - Street 1:155 GRANADA ST STE N
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-7725
Practice Address - Country:US
Practice Address - Phone:407-373-9721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-04
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4656101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty