Healthcare Provider Details

I. General information

NPI: 1588185698
Provider Name (Legal Business Name): LLARELIC OCHOA MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2017
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 E MINARETS AVE
PINEDALE CA
93650-1239
US

IV. Provider business mailing address

7037 W POE AVE
FRESNO CA
93723-4101
US

V. Phone/Fax

Practice location:
  • Phone: 559-436-0482
  • Fax:
Mailing address:
  • Phone: 831-905-0101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number127424
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: