Healthcare Provider Details

I. General information

NPI: 1790914505
Provider Name (Legal Business Name): MOR XIONG POPPER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2009
Last Update Date: 03/15/2024
Certification Date: 12/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HEALING HOPE, INC. 1960 N. GATEWAY BLVD
FRESNO CA
93727
US

IV. Provider business mailing address

1960 N. GATEWAY BLVD
FRESNO CA
93727
US

V. Phone/Fax

Practice location:
  • Phone: 559-266-5200
  • Fax: 559-266-5201
Mailing address:
  • Phone: 559-266-5200
  • Fax: 559-266-5201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW78283
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberASW78283
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number78282
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW118797
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: