Healthcare Provider Details

I. General information

NPI: 1114123536
Provider Name (Legal Business Name): BARBARA DENISE NEAL M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARBARA DENISE NEAL LMFT

II. Dates (important events)

Enumeration Date: 06/22/2007
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5055 CANYON CREST DR STE 202
RIVERSIDE CA
92507-6015
US

IV. Provider business mailing address

13342 MIMOSA LN
MORENO VALLEY CA
92553-6952
US

V. Phone/Fax

Practice location:
  • Phone: 951-213-5801
  • Fax: 866-387-8555
Mailing address:
  • Phone: 951-713-0464
  • Fax: 866-387-8555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number101600
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: