Provider Demographics
NPI:1891576732
Name:MALHIOT, TIANA (MS, LMFT)
Entity type:Individual
Prefix:
First Name:TIANA
Middle Name:
Last Name:MALHIOT
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 W BRIER CIR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-6926
Mailing Address - Country:US
Mailing Address - Phone:805-215-8961
Mailing Address - Fax:
Practice Address - Street 1:5084 N FRUIT AVE STE 103
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3000
Practice Address - Country:US
Practice Address - Phone:559-549-7388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA133869106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist