Healthcare Provider Details

I. General information

NPI: 1497093231
Provider Name (Legal Business Name): VMS FAMILY COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2013
Last Update Date: 11/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 W SHAW AVE SUITE 116
FRESNO CA
93711-3401
US

IV. Provider business mailing address

2350 W SHAW AVE SUITE 116
FRESNO CA
93711-3401
US

V. Phone/Fax

Practice location:
  • Phone: 559-573-4194
  • Fax:
Mailing address:
  • Phone: 559-573-4194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberMFC #52610
License Number StateCA

VIII. Authorized Official

Name: VICTORIA MARIE SANDERS
Title or Position: CEO
Credential: LMFT
Phone: 559-573-4194