Healthcare Provider Details

I. General information

NPI: 1285553552
Provider Name (Legal Business Name): SAFE PATH COUNSELING SERVICES A MARRIAGE & FAMILY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40628 LOS ALAMOS RD APT 8403
MURRIETA CA
92562-2725
US

IV. Provider business mailing address

40628 LOS ALAMOS RD APT 8403
MURRIETA CA
92562-2725
US

V. Phone/Fax

Practice location:
  • Phone: 951-906-1079
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: GEOVANI IBARRA
Title or Position: DIRECTOR OF TRAINING & COMPLIANCE
Credential:
Phone: 951-906-1079