Healthcare Provider Details
I. General information
NPI: 1992261069
Provider Name (Legal Business Name): CYCLES OF LIFE FAMILY COUNSELING, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/13/2019
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20 NEVADA ST STE 201
REDLANDS CA
92373-4225
US
IV. Provider business mailing address
20 NEVADA ST STE 201
REDLANDS CA
92373-4225
US
V. Phone/Fax
- Phone: 909-353-7080
- Fax:
- Phone: 909-353-7080
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RYAN
DEWITT
VOTH
Title or Position: CEO
Credential: LMFT
Phone: 909-353-7080