Organization Active NPI

My Therapy Tribe Licensed Clinical Social Worker Inc.

Doing business as My Therapy Tribe, Inc.

  • Clinical Social Worker
  • Brawley, CA
National Provider Identifier
1841981370
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MY THERAPY TRIBE LICENSED CLINICAL SOCIAL WORKER INC.
Doing business as
My Therapy Tribe, Inc.
Practice address
605 W. H. St.
Ste. 103
Brawley, CA 92227
Phone
(909) 289-4390
Fax
(208) 285-4605
NPI assigned
May 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Allyson Aquirre, LCSW
Title
Ceo/Owner
Phone
(909) 289-4390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

605 W. H. St.
Ste. 103
Brawley, CA 92227

Mailing address

605 W. H. St.
Ste. 103
Brawley, CA 92227
Phone (909) 289-4390

Other names 1

  • My Therapy Tribe, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

605 W H St
Ste 103
Brawley, CA 92227
Phone (442) 279-6490

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1841981370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W. H. ST.",
            "address_2": "STE. 103",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "92227",
            "telephone_number": "909-289-4390",
            "fax_number": "208-285-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W. H. ST.",
            "address_2": "STE. 103",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "92227",
            "telephone_number": "909-289-4390",
            "fax_number": "208-285-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY THERAPY TRIBE LICENSED CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "AQUIRRE",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "909-289-4390",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Therapy Tribe, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brawley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.