Healthcare Provider Details

I. General information

NPI: 1073237830
Provider Name (Legal Business Name): MALUHIA THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2022
Last Update Date: 11/19/2022
Certification Date: 11/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4646 WILSON RD STE 101A
BAKERSFIELD CA
93309-5895
US

IV. Provider business mailing address

7308 FEATHER RIVER DR
BAKERSFIELD CA
93308-6450
US

V. Phone/Fax

Practice location:
  • Phone: 661-368-5065
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA FLORA HILL
Title or Position: PRESIDENT, CLINICIAN
Credential: LCSW
Phone: 661-368-5065