| Mike Godby Therapy | |
|
5476 San Joaquin St Simi Valley CA 93063-5031 | |
| (805) 501-5162 | |
| Not Available |
| Full Name | Mike Godby Therapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5476 San Joaquin St, Simi Valley, California |
| Authorized Official Name and Position | Michael Jon Godby (OWNER) |
| Authorized Official Contact | 8055015162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mike Godby Therapy 5476 San Joaquin St Simi Valley CA 93063-5031 Ph: (805) 501-5162 | Mike Godby Therapy 5476 San Joaquin St Simi Valley CA 93063-5031 Ph: (805) 501-5162 |
| NPI Number | 1255213864 |
|---|---|
| Provider Enumeration Date | 07/24/2025 |
| Last Update Date | 07/24/2025 |
| Certification Date | 07/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255213864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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