Healthcare Provider Details

I. General information

NPI: 1184398323
Provider Name (Legal Business Name): HEALING MEADOWS MARRIAGE & FAMILY COUNSELING SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2021
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4025 CAMINO DEL RIO S STE 300
SAN DIEGO CA
92108-4108
US

IV. Provider business mailing address

PO BOX 123
CHULA VISTA CA
91912-0123
US

V. Phone/Fax

Practice location:
  • Phone: 833-208-3999
  • Fax:
Mailing address:
  • Phone: 619-650-1138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. DANNY A MEADOWS PARTIDA
Title or Position: CLINICAL DIRECTOR
Credential: LMFT
Phone: 831-200-4118