OrganizationActive
A New Creation Child, Individual & Family Counseling Treatment Center
NPI 1992179360 · Mental Health Clinic/Center (Including Community Mental Health Center) · Moreno Valley, CA
Provider details
- NPI number
- 1992179360
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paulette Douglas, President & Ceo(310) 963-7174
- License
- LMFT 49399 (CA)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense LMFT 49399 (CA)
Ambulatory Health Care Facilities
Practice location
23800 Sunnymead Blvd Ste D
Moreno Valley, CA 92553-7731
Phone: (310) 420-5341
Fax: (888) 313-0140
Approximate (ZIP-level) locationGet directions
Mailing address
23800 Sunnymead Blvd Ste D
Moreno Valley, CA 92553-7731
Registry dates
- Enumerated
- 2015-11-22
- Last updated
- 2019-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.