Healthcare Provider Details

I. General information

NPI: 1376018697
Provider Name (Legal Business Name): HEFZIBA MARRIAGE AND FAMILY COUNSELING CENTER, APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2018
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19843 NORDHOFF ST # 102
NORTHRIDGE CA
91324-3331
US

IV. Provider business mailing address

19843 NORDHOFF ST # 102
NORTHRIDGE CA
91324-3331
US

V. Phone/Fax

Practice location:
  • Phone: 909-677-6259
  • Fax: 951-708-3344
Mailing address:
  • Phone: 909-677-6259
  • Fax: 951-708-3344

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: CLAUDIA ESCORCIA
Title or Position: OWNER
Credential: LMFT
Phone: 909-677-6259