Healthcare Provider Details

I. General information

NPI: 1326374943
Provider Name (Legal Business Name): NOHEMI G. ESCAMILLA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2009
Last Update Date: 09/26/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 W SHAW AVE
FRESNO CA
93711
US

IV. Provider business mailing address

5848 E FLORENCE AVE
FRESNO CA
93727-6519
US

V. Phone/Fax

Practice location:
  • Phone: 559-908-7453
  • Fax: 559-252-1543
Mailing address:
  • Phone: 559-908-7453
  • Fax: 559-252-1543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC43994
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT43994
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: