Healthcare Provider Details

I. General information

NPI: 1477466985
Provider Name (Legal Business Name): SIMPLE SOLUTIONS FAMILY THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16888 NISQUALLI RD STE 200
VICTORVILLE CA
92395-9703
US

IV. Provider business mailing address

16888 NISQUALLI RD STE 200
VICTORVILLE CA
92395-9703
US

V. Phone/Fax

Practice location:
  • Phone: 909-527-3463
  • Fax: 909-527-3467
Mailing address:
  • Phone: 909-527-3463
  • Fax: 909-527-3467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. SANIYYAH MAYO
Title or Position: CEO
Credential: LMFT
Phone: 909-527-3463