MEDICARE: LOYOLOGY COUNSELING SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1255274106
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOYOLOGY COUNSELING SERVICES

Provider Business Mailing Address
First Line	:	5174 TRAIL CANYON DR
Second Line	:
City	:	JURUPA VALLEY
State	:	CA
Zip	:	91752-1626
Country	:	US
Telephone Number	:	626-944-3144
Fax Number	:

Provider Business Practice Location Address
First Line	:	5174 TRAIL CANYON DR
Second Line	:
City	:	JURUPA VALLEY
State	:	CA
Zip	:	91752-1626
Country	:	US
Telephone Number	:	626-944-3144
Fax Number	:

Authorized Official
Title or Position	:	LCSW
Name	:	ELOISA PPADILLA
Credential	:	LCSW
Telephone Number	:	626-944-3144

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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