Healthcare Provider Details

I. General information

NPI: 1679946271
Provider Name (Legal Business Name): ELENA ANN SALDANA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2015
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15000 7TH ST STE 202E & 208 E
VICTORVILLE CA
92395-3852
US

IV. Provider business mailing address

165 N 100 E STE 6
ST GEORGE UT
84770-2505
US

V. Phone/Fax

Practice location:
  • Phone: 209-640-9963
  • Fax: 909-913-4864
Mailing address:
  • Phone: 209-640-9963
  • Fax: 909-913-4864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number124640
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number14208086-3902
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: