Healthcare Provider Details

I. General information

NPI: 1235797705
Provider Name (Legal Business Name): DARIAH SIMONE HERRERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DARIAH SIMONE BROWN LMFT

II. Dates (important events)

Enumeration Date: 05/30/2019
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 S WESTSIDE DR UNIT 3028
ANAHEIM CA
92805-8651
US

IV. Provider business mailing address

1815 S WESTSIDE DR UNIT 3028
ANAHEIM CA
92805-8651
US

V. Phone/Fax

Practice location:
  • Phone: 714-253-7506
  • Fax:
Mailing address:
  • Phone: 714-253-7506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number138416
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: