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NPI Code Detail

MEDICARE: MAYAMOTION HEALING PLLC

MEDICARE: MAYAMOTION HEALING 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1912834953
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAYAMOTION HEALING PLLC
Provider Business Mailing Address
First Line : 16049 BASELINE AVE UNIT 1
Second Line :
City : FONTANA
State : CA
Zip : 92336-1830
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4351 BROADWAY
Second Line :
City : OAKLAND
State : CA
Zip : 94611-4612
Country : US
Telephone Number : 303-835-7007
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MAYA SOL DANSIE
Credential :
Telephone Number : 303-835-7007
Provider Enumeration Date : 05/05/2026
Last Update Date : 05/05/2026

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