Healthcare Provider Details

I. General information

NPI: 1093625998
Provider Name (Legal Business Name): AIMEE MIKALINIS MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 S STATE COLLEGE BLVD UNIT 10030
ANAHEIM CA
92806-4116
US

IV. Provider business mailing address

7260 SVL BOX
VICTORVILLE CA
92395-5154
US

V. Phone/Fax

Practice location:
  • Phone: 661-282-1493
  • Fax:
Mailing address:
  • Phone: 661-282-1493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: AIMEE J MIKALINIS
Title or Position: CHAIRMAN
Credential: MIKALINIS
Phone: 661-282-1493