Provider Demographics
NPI:1780944348
Name:MORROW, JANELLE (MHA)
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:MORROW
Suffix:
Gender:F
Credentials:MHA
Other - Prefix:
Other - First Name:JANELLE
Other - Middle Name:
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:501 MARIN ST STE 225
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-4301
Mailing Address - Country:US
Mailing Address - Phone:805-356-3634
Mailing Address - Fax:
Practice Address - Street 1:5583 INDIAN HILLS DR
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-2027
Practice Address - Country:US
Practice Address - Phone:805-721-6224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-16
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2541431164X00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No164X00000XNursing Service ProvidersLicensed Vocational Nurse