| Broad Horizons Counseling Collective | |
|
5923 Kanan Rd Agoura Hills CA 91301-1688 | |
| (310) 866-2606 | |
| (310) 455-1416 |
| Full Name | Broad Horizons Counseling Collective |
|---|---|
| Speciality | Clinic/Center |
| Location | 5923 Kanan Rd, Agoura Hills, California |
| Authorized Official Name and Position | Veronica Sheftz Winston (CFO) |
| Authorized Official Contact | 3108662606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Broad Horizons Counseling Collective Po Box 1410 Topanga CA 90290-1410 Ph: (310) 866-2606 | Broad Horizons Counseling Collective 5923 Kanan Rd Agoura Hills CA 91301-1688 Ph: (310) 866-2606 |
| NPI Number | 1144461690 |
|---|---|
| Provider Enumeration Date | 03/12/2009 |
| Last Update Date | 05/13/2025 |
| Certification Date | 05/13/2025 |
| Medicare PECOS PAC ID | 4981758257 |
|---|---|
| Medicare Enrollment ID | O20090820000674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144461690 | NPI | - | NPPES |
| Provider Name | Stephen C Winston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730204884 PECOS PAC ID: 8224182597 Enrollment ID: I20090820000745 |
| Provider Name | Veronica Sheftz Winston |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447373444 PECOS PAC ID: 1951455229 Enrollment ID: I20240322001207 |
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