Healthcare Provider Details

I. General information

NPI: 1790579167
Provider Name (Legal Business Name): HEIDI MARIE MEJIAS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2025
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

399 TAYLOR BLVD STE 210
PLEASANT HILL CA
94523-2287
US

IV. Provider business mailing address

399 TAYLOR BLVD STE 210
PLEASANT HILL CA
94523-2287
US

V. Phone/Fax

Practice location:
  • Phone: 510-316-9253
  • Fax: 925-685-9682
Mailing address:
  • Phone: 510-316-9253
  • Fax: 925-685-9682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number127456
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: