Healthcare Provider Details

I. General information

NPI: 1568107340
Provider Name (Legal Business Name): OWN YOUR MIND PSYCHOLOGY SERVICES AND CONSULTATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2022
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4974 E CLINTON WAY STE C102
FRESNO CA
93727-1531
US

IV. Provider business mailing address

1420 SHAW AVE STE 102-117
CLOVIS CA
93611-4072
US

V. Phone/Fax

Practice location:
  • Phone: 559-202-3713
  • Fax:
Mailing address:
  • Phone: 559-202-3713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. SHEERA N HARRELL
Title or Position: PRESIDENT/OWNER
Credential: PHD
Phone: 559-202-3713