Healthcare Provider Details

I. General information

NPI: 1467381830
Provider Name (Legal Business Name): RANCHOS COUNSELING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11178 HIGHWAY 41 # 101
MADERA CA
93636-9051
US

IV. Provider business mailing address

11178 HIGHWAY 41 # 101
MADERA CA
93636-9051
US

V. Phone/Fax

Practice location:
  • Phone: 559-514-4804
  • Fax: 559-660-5284
Mailing address:
  • Phone: 559-514-4804
  • Fax: 559-660-5284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BROOKE DURRELL
Title or Position: CEO
Credential: LCSW
Phone: 559-514-4804