NPI Code Details Logo

NPI 1003740382

NPI 1003740382 : NORTHSTAR HEALING CENTER : ONTARIO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1003740382
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    NORTHSTAR HEALING CENTER 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/11/2026
-----------------------------------------------------
    Last Update Date     |    06/11/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3998 INLAND EMPIRE BLVD STE 200 
-----------------------------------------------------
    City                 |    ONTARIO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91764-5033
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    323-348-8225
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3998 INLAND EMPIRE BLVD STE 200 
-----------------------------------------------------
    City                 |    ONTARIO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91764-5033
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    323-348-8225
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |    DR. LAURA ANN FIERRO 
-----------------------------------------------------
    Credential           |    PHD, LMFT
-----------------------------------------------------
    Telephone            |    323-348-8225
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.