Healthcare Provider Details

I. General information

NPI: 1386456705
Provider Name (Legal Business Name): ONE HEART BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2025
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18325 SHERMAN WAY
RESEDA CA
91335-4425
US

IV. Provider business mailing address

18325 SHERMAN WAY
RESEDA CA
91335-4425
US

V. Phone/Fax

Practice location:
  • Phone: 818-330-3337
  • Fax: 818-745-3337
Mailing address:
  • Phone: 818-330-3337
  • Fax: 818-745-3337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JEANETTE CHRISTINE CHAVEZ
Title or Position: PRESIDENT
Credential:
Phone: 972-904-3067