Healthcare Provider Details

I. General information

NPI: 1093622623
Provider Name (Legal Business Name): HOPE HORIZON MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

881 W MORTON AVE STE D
PORTERVILLE CA
93257-3108
US

IV. Provider business mailing address

881 W MORTON AVE STE D
PORTERVILLE CA
93257-3108
US

V. Phone/Fax

Practice location:
  • Phone: 559-688-2043
  • Fax:
Mailing address:
  • Phone: 559-688-2043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DOMINIQUE CARDOZA
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 559-688-2043