Healthcare Provider Details

I. General information

NPI: 1457018053
Provider Name (Legal Business Name): HERE AND NOW FOUNDATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2021
Last Update Date: 11/18/2021
Certification Date: 11/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S PARK AVE STE 745
POMONA CA
91766-1558
US

IV. Provider business mailing address

13200 CROSSROADS PKWY N STE 300
CITY OF INDUSTRY CA
91746-3459
US

V. Phone/Fax

Practice location:
  • Phone: 562-821-1813
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: CLAUDIA DOTY
Title or Position: CLINICAL EXECUTIVE DIRECTOR
Credential:
Phone: 562-821-1822