Healthcare Provider Details

I. General information

NPI: 1508711292
Provider Name (Legal Business Name): ANIMA B & R COUNSELING, LICENSED CLINICAL SOCIAL WORKER, PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 E GUASTI RD STE 100
ONTARIO CA
91761-8661
US

IV. Provider business mailing address

3200 E GUASTI RD STE 100
ONTARIO CA
91761-8661
US

V. Phone/Fax

Practice location:
  • Phone: 562-285-8180
  • Fax:
Mailing address:
  • Phone: 562-285-8180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. BELEN E GONZALEZ
Title or Position: OWNER
Credential: PH.D., L.C.S.W
Phone: 562-285-8180