Provider Demographics
NPI:1467032185
Name:PLASCENCIA, MAYRA EMILIA (LMFT)
Entity type:Individual
Prefix:MS
First Name:MAYRA
Middle Name:EMILIA
Last Name:PLASCENCIA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 E SHAW AVE STE 170
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-7911
Mailing Address - Country:US
Mailing Address - Phone:559-907-0242
Mailing Address - Fax:
Practice Address - Street 1:1300 E SHAW AVE STE 170
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-7911
Practice Address - Country:US
Practice Address - Phone:559-907-0242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-08
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA147650106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist