=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487508537
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INLY THERAPY, LICENSED CLINICAL SOCIAL WORKER, PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/25/2026
-----------------------------------------------------
Last Update Date | 02/25/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1055 EAST COLORADO BLVD 5TH FLOOR PMB COL-5247
-----------------------------------------------------
City | PASADENA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91106
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 424-410-3744
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1055 EAST COLORADO BLVD 5TH FLOOR PMB COL-5247
-----------------------------------------------------
City | PASADENA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91106
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 424-410-3744
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FOUNDER/OWNER
-----------------------------------------------------
Name | RUIQI HE
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 424-410-3744
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------