# BEVERLY HANES, LMFT APC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073631545
- **Authorized official:** MS. BEVERLY HANES M.A., LMFT (MARRIAGE & FAMILY THERAPIST-CEO)
- **Authorized official phone:** (951) 334-3177

## Contact information

- **Practice address:** 1420 E COOLEY DR, SUITE 200 S, COLTON, CA 92324-3981
- **Practice address phone:** (951) 334-3177
- **Practice address fax:** (909) 424-0222
- **Mailing address:** PO BOX 52974, RIVERSIDE, CA 92517-3974
- **Mailing address phone:** (951) 334-3177
- **Mailing address fax:** (909) 424-0222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | CORP 2879938 | CA | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/22/2020