Healthcare Provider Details

I. General information

NPI: 1255260550
Provider Name (Legal Business Name): ESSENCE FAMILY THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2064 MANDARIN LN
REDLANDS CA
92374-2199
US

IV. Provider business mailing address

2064 MANDARIN LN
REDLANDS CA
92374-2199
US

V. Phone/Fax

Practice location:
  • Phone: 909-685-6654
  • 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

VIII. Authorized Official

Name: MRS. JULELISA MARAE BELTRAN GUERRERO
Title or Position: OWNER
Credential: MS; LMFT
Phone: 909-685-6654