Healthcare Provider Details

I. General information

NPI: 1245136696
Provider Name (Legal Business Name): LORENA BELEN SARROUF, LICENSED PROFESSIONAL CLINICAL COUNSELOR, A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2026
Last Update Date: 10/14/2026
Certification Date: 10/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73725 EL PASEO STE 23C
PALM DESERT CA
92260-4311
US

IV. Provider business mailing address

43696 PETTIROSSO ST
INDIO CA
92203-2712
US

V. Phone/Fax

Practice location:
  • Phone: 714-227-8219
  • Fax:
Mailing address:
  • Phone: 714-227-8219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: LORENA BELEN SARROUF
Title or Position: OWNER
Credential: LPCC
Phone: 714-227-8219