Healthcare Provider Details

I. General information

NPI: 1558071225
Provider Name (Legal Business Name): NAHUI THERAPY, LICENSED CLINICAL SOCIAL WORKER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2022
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3605 LONG BEACH BLVD STE 200
LONG BEACH CA
90807-4024
US

IV. Provider business mailing address

3553 ATLANTIC AVE STE B
LONG BEACH CA
90807-5607
US

V. Phone/Fax

Practice location:
  • Phone: 562-277-1398
  • Fax:
Mailing address:
  • Phone: 562-277-1398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ALAYN BERENICE ORTIZ
Title or Position: PRESIDENT
Credential: LCSW
Phone: 562-277-1398