Healthcare Provider Details

I. General information

NPI: 1083231138
Provider Name (Legal Business Name): MEJIA FAMILY COUNSELING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2020
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 W CALIFORNIA BLVD STE 221
PASADENA CA
91105-3032
US

IV. Provider business mailing address

1 W CALIFORNIA BLVD STE 221
PASADENA CA
91105-3032
US

V. Phone/Fax

Practice location:
  • Phone: 626-887-8592
  • Fax: 626-460-5597
Mailing address:
  • Phone: 626-214-8027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. SYLVIA MEJIA
Title or Position: LMFT
Credential: MA
Phone: 626-450-5133