Healthcare Provider Details

I. General information

NPI: 1174437099
Provider Name (Legal Business Name): TONY ACEVES LMFT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 W SONORA AVE
TULARE CA
93274-5140
US

IV. Provider business mailing address

PO BOX 2271
TULARE CA
93275-2271
US

V. Phone/Fax

Practice location:
  • Phone: 805-351-2787
  • Fax:
Mailing address:
  • Phone: 805-351-2787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ANTONIO MARTIN ACEVES SANTIAGO
Title or Position: PRESIDENT
Credential: LMFT
Phone: 559-350-0227