Provider Demographics
NPI:1760713457
Name:BERRINGTON, MARIZZA
Entity type:Individual
Prefix:MS
First Name:MARIZZA
Middle Name:
Last Name:BERRINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:MARIZZA
Other - Middle Name:
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1722 S LEWIS RD
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-8520
Mailing Address - Country:US
Mailing Address - Phone:808-579-9584
Mailing Address - Fax:808-244-9719
Practice Address - Street 1:1722 S LEWIS RD
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012-8520
Practice Address - Country:US
Practice Address - Phone:808-366-4005
Practice Address - Fax:805-366-6645
Is Sole Proprietor?:No
Enumeration Date:2010-01-20
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA19917101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health