1881250413 NPI number — MRS. MARIBEL FLORES HARTFORD LMFT

Table of content: MRS. MARIBEL FLORES HARTFORD LMFT (NPI 1881250413)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881250413 NPI number — MRS. MARIBEL FLORES HARTFORD LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FLORES HARTFORD
Provider First Name:
MARIBEL
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FLORES
Provider Other First Name:
MARIBEL
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
AMFT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1881250413
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/22/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
706 BORA BORA LN.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BAKERSFIELD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93307
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-444-7164
Provider Business Mailing Address Fax Number:
661-427-0778

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
110 S MONTCLAIR ST STE 206
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-3111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
820-203-1023
Provider Business Practice Location Address Fax Number:
661-427-0778
Provider Enumeration Date:
05/20/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  LMFT131240 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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