MEDICARE: MATERNAL HEARTS, PLLC

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	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1285427211
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATERNAL HEARTS, PLLC

Provider Business Mailing Address
First Line	:	2554 W 16TH ST PMB 344
Second Line	:
City	:	YUMA
State	:	AZ
Zip	:	85364-4229
Country	:	US
Telephone Number	:	928-235-6078
Fax Number	:	928-492-6181

Provider Business Practice Location Address
First Line	:	1503 N IMPERIAL AVE STE 205
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-6302
Country	:	US
Telephone Number	:	928-235-6078
Fax Number	:	928-492-6181

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	NORA ALICIA MARTINEZ
Credential	:	LMFT
Telephone Number	:	928-235-6078

Provider Enumeration Date	:	05/23/2025
Last Update Date	:	06/08/2025

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