Healthcare Provider Details

I. General information

NPI: 1487368866
Provider Name (Legal Business Name): MIGHTY COMMUNITY ADVOCACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2023
Last Update Date: 09/02/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1805 VAN NESS AVE
FRESNO CA
93721-1132
US

IV. Provider business mailing address

1805 VAN NESS AVE
FRESNO CA
93721-1132
US

V. Phone/Fax

Practice location:
  • Phone: 559-242-6744
  • Fax:
Mailing address:
  • Phone: 559-242-6744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: NISHEA MARTINEZ
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 559-999-6831