MEDICARE: THE F I A T M GROUP INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	101YP1600X	Pastoral Counselor
4	101YP2500X	Professional Counselor
5	101YS0200X	School Counselor
6	175T00000X	Peer Specialist
7	171W00000X	Contractor
8	235Z00000X	Speech-Language Pathologist
9	251S00000X	Community/Behavioral Health Agency
10	261QM0850X	Adult Mental Health Clinic/Center
11	324500000X	Substance Abuse Rehabilitation Facility
12	3245S0500X	Children's Substance Abuse Rehabilitation Facility
13	405300000X	Prevention Professional
14	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1386537868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE F I A T M GROUP INC.

Provider Business Mailing Address
First Line	:	25920 IRIS AVE. BLDG 13A
Second Line	:	SUITE 231
City	:	MORENO VALLEY
State	:	CA
Zip	:	92551-9255
Country	:	US
Telephone Number	:	951-570-5053
Fax Number	:

Provider Business Practice Location Address
First Line	:	2192 GALLERIA AT TYLER
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92503-4146
Country	:	US
Telephone Number	:	951-570-5053
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	YAKUBA BROWN
Credential	:
Telephone Number	:	951-478-7178

Provider Enumeration Date	:	06/02/2025
Last Update Date	:	06/02/2025

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Directions to “THE F I A T M GROUP INC. ” Practice Location

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