Healthcare Provider Details

I. General information

NPI: 1619831690
Provider Name (Legal Business Name): HEART 2 HEART THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

7839 UNIVERSITY AVE STE 102
LA MESA CA
91942-0478
US

IV. Provider business mailing address

7839 UNIVERSITY AVE STE 102
LA MESA CA
91942-0478
US

V. Phone/Fax

Practice location:
  • Phone: 619-609-9182
  • Fax: 619-303-3671
Mailing address:
  • Phone: 619-609-9182
  • Fax: 619-303-3671

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: CHRISTINA DIANE VLASIS
Title or Position: OWNER
Credential: LMFT
Phone: 619-609-9182