Healthcare Provider Details

I. General information

NPI: 1164741070
Provider Name (Legal Business Name): THE FRESNO CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2010
Last Update Date: 08/23/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4855 E CESAR CHAVEZ # 105
FRESNO CA
93727-3811
US

IV. Provider business mailing address

1725 N FINE AVE
FRESNO CA
93727-1616
US

V. Phone/Fax

Practice location:
  • Phone: 559-255-8395
  • Fax: 559-255-1656
Mailing address:
  • Phone: 559-255-8395
  • Fax: 559-255-1656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: GHIA S XIONG
Title or Position: DIRECTOR
Credential: PSY.D
Phone: 559-573-0470