Healthcare Provider Details

I. General information

NPI: 1447970058
Provider Name (Legal Business Name): ESPERANZA FAMILY COUNSELING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2022
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 W FALLBROOK AVE STE 105
FRESNO CA
93711-6191
US

IV. Provider business mailing address

410 W FALLBROOK AVE STE 105
FRESNO CA
93711-6191
US

V. Phone/Fax

Practice location:
  • Phone: 559-472-0501
  • Fax:
Mailing address:
  • Phone: 559-472-0501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: SERGIO BENJAMIN PEREYRA
Title or Position: CEO & PRESIDENT
Credential:
Phone: 559-472-0501