Healthcare Provider Details

I. General information

NPI: 1740144575
Provider Name (Legal Business Name): DEEP FEELS MARRIAGE AND FAMILY THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1690 W SHAW AVE STE 220
FRESNO CA
93711-3519
US

IV. Provider business mailing address

42 E ASHLAN AVE
FRESNO CA
93704-3501
US

V. Phone/Fax

Practice location:
  • Phone: 951-310-3683
  • Fax:
Mailing address:
  • Phone: 951-310-3683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DEANNA REYNA
Title or Position: OWNER
Credential: LMFT
Phone: 951-310-3683