Provider Demographics
NPI:1043050453
Name:HEALING HEARTS EMPOWERING MINDS
Entity type:Organization
Organization Name:HEALING HEARTS EMPOWERING MINDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, PPSC
Authorized Official - Phone:951-444-9125
Mailing Address - Street 1:600 W DUELL ST
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-4719
Mailing Address - Country:US
Mailing Address - Phone:626-224-0888
Mailing Address - Fax:
Practice Address - Street 1:600 W DUELL ST
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-4719
Practice Address - Country:US
Practice Address - Phone:626-224-0888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty