Healthcare Provider Details

I. General information

NPI: 1083543656
Provider Name (Legal Business Name): HENLEY MARRIAGE AND FAMILY COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 CAJON ST STE 6
REDLANDS CA
92373-5239
US

IV. Provider business mailing address

233 CAJON ST STE 6
REDLANDS CA
92373-5239
US

V. Phone/Fax

Practice location:
  • Phone: 909-665-2545
  • Fax:
Mailing address:
  • Phone: 909-665-2545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JASON ALAN HENLEY
Title or Position: PRESIDENT
Credential: LMFT
Phone: 909-665-2545