Healthcare Provider Details

I. General information

NPI: 1306761622
Provider Name (Legal Business Name): INNER HEALING FAMILY THERAPY AND WELLNESS CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1126 W FOOTHILL BLVD STE 180
UPLAND CA
91786-3786
US

IV. Provider business mailing address

1126 W FOOTHILL BLVD STE 180
UPLAND CA
91786-3786
US

V. Phone/Fax

Practice location:
  • Phone: 909-488-4006
  • Fax: 909-461-4551
Mailing address:
  • Phone: 909-488-4006
  • Fax: 909-461-4551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. ROSA ISELA FOY
Title or Position: THERAPIST/CEO
Credential: LMFT
Phone: 626-456-3356