Provider Demographics
NPI:1285009043
Name:BIBIAN, MYRIAH HELENA (PPS)
Entity type:Individual
Prefix:MRS
First Name:MYRIAH
Middle Name:HELENA
Last Name:BIBIAN
Suffix:
Gender:F
Credentials:PPS
Other - Prefix:MISS
Other - First Name:MYRIAH
Other - Middle Name:HELENA
Other - Last Name:BRENNAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3050 THAMES RIVER DR
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-5338
Mailing Address - Country:US
Mailing Address - Phone:805-981-1507
Mailing Address - Fax:
Practice Address - Street 1:3050 THAMES RIVER DR
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-5338
Practice Address - Country:US
Practice Address - Phone:805-981-1507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-04
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health