Healthcare Provider Details

I. General information

NPI: 1255236428
Provider Name (Legal Business Name): ASPIRE PSYCHOTHERAPY & COACHING CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31085 MONTESA DR
LAGUNA NIGUEL CA
92677-2721
US

IV. Provider business mailing address

31085 MONTESA DR
LAGUNA NIGUEL CA
92677-2721
US

V. Phone/Fax

Practice location:
  • Phone: 949-606-6859
  • Fax:
Mailing address:
  • Phone: 949-606-6859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: RANDY ALTON FREE
Title or Position: OWNER
Credential: LPCC
Phone: 949-606-6859