Provider Demographics
NPI:1235004177
Name:VISTA VIEW FAMILY THERAPY, INC
Entity type:Organization
Organization Name:VISTA VIEW FAMILY THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEGROVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-874-7851
Mailing Address - Street 1:4041 ARCH DR APT 111
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-3287
Mailing Address - Country:US
Mailing Address - Phone:818-900-1569
Mailing Address - Fax:661-524-9950
Practice Address - Street 1:4140 ARCH ST
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604
Practice Address - Country:US
Practice Address - Phone:818-900-1569
Practice Address - Fax:661-524-9950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty