Provider Demographics
NPI:1972243285
Name:NEW GENERATIONS FAMILY THERAPY, INC.
Entity Type:Organization
Organization Name:NEW GENERATIONS FAMILY THERAPY, INC.
Other - Org Name:NEW GENERATIONS COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ENRIQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:805-515-6259
Mailing Address - Street 1:PO BOX 3057
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93006-3057
Mailing Address - Country:US
Mailing Address - Phone:805-515-6259
Mailing Address - Fax:
Practice Address - Street 1:2021 SPERRY AVE STE 20
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-7446
Practice Address - Country:US
Practice Address - Phone:805-515-6259
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-01
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty