Healthcare Provider Details

I. General information

NPI: 1972450369
Provider Name (Legal Business Name): BEGINNING AGAIN FAMILY & INDIVIDUAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2026
Last Update Date: 03/13/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18484 HWY 18, SUITE 210
APPLE VALLEY CA
92307
US

IV. Provider business mailing address

18484 HWY 18, SUITE 210
APPLE VALLEY CA
92307
US

V. Phone/Fax

Practice location:
  • Phone: 760-553-6345
  • Fax: 760-946-9110
Mailing address:
  • Phone: 760-553-6345
  • Fax: 760-946-9110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CASSANDRA ALLEN RAY ALLEN
Title or Position: SOLE PROPRIETORSHIP
Credential: LMFT
Phone: 760-553-6345