=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639037369
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CLEANSING CONVERSATIONS INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/12/2026
-----------------------------------------------------
Last Update Date | 01/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10630 TOWN CENTER DR STE 119 SUITE 119
-----------------------------------------------------
City | RANCHO CUCAMONGA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91730-6888
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 951-536-2564
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10630 TOWN CENTER DR STE 119
-----------------------------------------------------
City | RANCHO CUCAMONGA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91730-6888
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 951-536-2564
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JAVIER DONAHOE
-----------------------------------------------------
Credential | LMFT
-----------------------------------------------------
Telephone | 951-536-2564
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------