=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174437099
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TONY ACEVES LMFT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/29/2026
-----------------------------------------------------
Last Update Date | 09/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 609 W SONORA AVE
-----------------------------------------------------
City | TULARE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93274-5140
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-351-2787
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 2271
-----------------------------------------------------
City | TULARE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93275-2271
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-351-2787
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ANTONIO MARTIN ACEVES SANTIAGO
-----------------------------------------------------
Credential | LMFT
-----------------------------------------------------
Telephone | 559-350-0227
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------