Healthcare Provider Details
I. General information
NPI: 1356261028
Provider Name (Legal Business Name): CACTUS HEART COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/21/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
202 S 1ST AVE STE 301B
YUMA AZ
85364-2315
US
IV. Provider business mailing address
1202 SOUTH MUSGROVE AVE 202 S 1ST AVE SUITE 301B YUMA, AZ 85364
SOMERTON AZ
85350-3801
US
V. Phone/Fax
- Phone: 928-271-1887
- Fax:
- Phone: 928-271-1887
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NANCY
VALENZUELA RIVERA
Title or Position: CLINICIAN/OWNER
Credential: LCSW
Phone: 928-271-1887