DIVE OPPORTUNTIES STRTP NPI 1134063266

NPI Information

  • NPI: 1134063266
  • Provider Name: DIVE OPPORTUNTIES STRTP
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 6216 MAYBERRY AVE
    RANCHO CUCAMONGA, CA
    ZIP 91737
  • Phone: (310) 386-7919

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NPI Details

DIVE OPPORTUNTIES STRTP is a mental health counselor in Rancho Cucamonga, CA. DIVE OPPORTUNTIES STRTP NPI is 1134063266. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6216 MAYBERRY AVE
RANCHO CUCAMONGA, CA
ZIP 91737-743
Phone: (310) 386-7919

The provider's authorized official is Ebony Monique Maxie .
The authorized official title is Administrator and has the following contact phone number (310) 386-7919.

The enumeration date for this NPI number is 4/17/2026 and was last updated on 4/17/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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