Healthcare Provider Details

I. General information

NPI: 1225950470
Provider Name (Legal Business Name): MS. TAHLIA ARIANNA KLEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 MARKET ST STE A
RIVERSIDE CA
92501-1769
US

IV. Provider business mailing address

23946 ROWE DR
MORENO VALLEY CA
92557-7934
US

V. Phone/Fax

Practice location:
  • Phone: 877-462-7735
  • Fax:
Mailing address:
  • Phone: 951-567-3530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT164128
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: