Healthcare Provider Details

I. General information

NPI: 1770185456
Provider Name (Legal Business Name): GUIDING HOPE MARRIAGE AND FAMILY THERAPY COUNSELING CORPORATION.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2020
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35210 AVENUE A
YUCAIPA CA
92399-4325
US

IV. Provider business mailing address

35210 AVENUE A
YUCAIPA CA
92399-4325
US

V. Phone/Fax

Practice location:
  • Phone: 909-372-0863
  • Fax: 909-253-0199
Mailing address:
  • Phone: 909-372-0683
  • Fax: 909-253-0199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CANDACE DEESE
Title or Position: CEO
Credential: LMFT
Phone: 909-372-0683