Healthcare Provider Details

I. General information

NPI: 1831959188
Provider Name (Legal Business Name): FRANCES S LA MONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2024
Last Update Date: 06/19/2024
Certification Date: 06/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 E PALA MSN UNIT 346
PALA CA
92059-3214
US

IV. Provider business mailing address

PO BOX 346
PALA CA
92059-0346
US

V. Phone/Fax

Practice location:
  • Phone: 760-576-6038
  • 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
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: FRANCES LA MONS
Title or Position: LMFT
Credential:
Phone: 760-576-6038