Healthcare Provider Details

I. General information

NPI: 1134067499
Provider Name (Legal Business Name): DEL VALLE THERAPY SERVICES, LICENSED CLINICAL SOCIAL WORKER, A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 HERNDON RD
CERES CA
95307-4421
US

IV. Provider business mailing address

1700 HERNDON RD
CERES CA
95307-4421
US

V. Phone/Fax

Practice location:
  • Phone: 626-884-2294
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY SARAHI DEL VALLE
Title or Position: PRESIDENT
Credential:
Phone: 209-613-3822