Provider Demographics
NPI:1487425666
Name:PADILLA-FLORES, ARLETH PAMELA (ACSW)
Entity type:Individual
Prefix:
First Name:ARLETH
Middle Name:PAMELA
Last Name:PADILLA-FLORES
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:ARLETH
Other - Middle Name:PAMELA
Other - Last Name:FLORES BONILLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 53247
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92517-4247
Mailing Address - Country:US
Mailing Address - Phone:909-915-7201
Mailing Address - Fax:
Practice Address - Street 1:26001 REDLANDS BLVD
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-7762
Practice Address - Country:US
Practice Address - Phone:909-825-7084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95361104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker