TRAUMA AND HEALING FOUNDATION NPI 1629600341

NPI Information

  • NPI: 1629600341
  • Provider Name: TRAUMA AND HEALING FOUNDATION
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Organization
  • Doing Business As: THE TRAUMA AND HEALING FOUNDATION
  • Address: 17057 FOOTHILL BLVD STE 205
    FONTANA, CA
    ZIP 92335
  • Phone: (909) 693-3177

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NPI Details

TRAUMA AND HEALING FOUNDATION is a marriage family therapist in Fontana, CA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. TRAUMA AND HEALING FOUNDATION NPI is 1629600341. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Trauma And Healing Foundation.

The provider's business location address is:

17057 FOOTHILL BLVD STE 205
FONTANA, CA
ZIP 92335-574
Phone: (909) 693-3177
Fax: (909) 693-3177

The provider's authorized official is Carol R Adkisson .
The authorized official title is Ceo/founder and has the following contact phone number (909) 693-3177.

The enumeration date for this NPI number is 2/11/2020 and was last updated on 12/7/2023.

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
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3106H00000XMarriage & Family TherapistYes

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: 3/30/2025

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