Healthcare Provider Details

I. General information

NPI: 1881544328
Provider Name (Legal Business Name): HEALING JOURNEY THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2026
Last Update Date: 02/03/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7252 ARCHIBALD AVENUE PMB 1087
RANCHO CUCAMONGA CA
91701-5017
US

IV. Provider business mailing address

7252 ARCHIBALD AVENUE PMB 1087
RANCHO CUCAMONGA CA
91701-5017
US

V. Phone/Fax

Practice location:
  • Phone: 909-699-0502
  • Fax:
Mailing address:
  • Phone: 909-699-0502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SAHILI AMADOR
Title or Position: PSYCHOTHERAPIST
Credential: LCSW
Phone: 909-699-0502