# LA VID TREE OF LIFE MARRIAGE AND FAMILY THERAPY SERVICES INC.

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

## Provider details

- **NPI number:** 1760195838
- **Authorized official:** ARLYN XIOMARA MENDOZA LMFT (PRESIDENT)
- **Authorized official phone:** (909) 631-5768

## Contact information

- **Practice address:** 8273 WHITE OAK AVE \# B, RANCHO CUCAMONGA, CA 91730-7671
- **Practice address phone:** (840) 207-9256
- **Mailing address:** 523 W ELM ST, ONTARIO, CA 91762-5712
- **Mailing address phone:** (909) 631-5768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP1600X | Pastoral Counselor | — | NULL | — |
| 101YP1600X | Pastoral Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |

## Other

- **Enumeration date:** 01/03/2023
- **Last updated:** 01/03/2023