# FAMOS THERAPIES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1891565610
- **Authorized official:** MRS. MIRIAM GUILLEN-IBARRA LMFT (CLINICAL COUNSELOR)
- **Authorized official phone:** (619) 240-2359

## Contact information

- **Practice address:** 815 THIRD AVE STE 311, CHULA VISTA, CA 91911-1310
- **Practice address phone:** (619) 500-6298
- **Mailing address:** 815 THIRD AVE STE 311, CHULA VISTA, CA 91911-1310
- **Mailing address phone:** (619) 500-6298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 103K00000X | Behavior Analyst | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 01/03/2024
- **Last updated:** 01/19/2024