MEDICARE: NATIONAL ALLIANCE ON MENTAL ILLNESS FRESNO

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	:	1588472922
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL ALLIANCE ON MENTAL ILLNESS FRESNO

Provider Business Mailing Address
First Line	:	7545 N DEL MAR AVE STE 105
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-6872
Country	:	US
Telephone Number	:	559-224-2469
Fax Number	:

Provider Business Practice Location Address
First Line	:	7545 N DEL MAR AVE STE 105
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-6872
Country	:	US
Telephone Number	:	559-224-2469
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. DR. AMY PARKS
Credential	:	DSW, LCSW
Telephone Number	:	559-224-2469

Provider Enumeration Date	:	12/18/2024
Last Update Date	:	12/18/2024

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Directions to “NATIONAL ALLIANCE ON MENTAL ILLNESS FRESNO ” Practice Location

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