Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mindful Revamp, Inc

Organization Marriage & Family Therapist · NPI 1407748866

Mindful Revamp, Inc is a Marriage & Family Therapist in Rancho Cucamonga, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9497 Jack Rabbit Dr Unit 106
Rancho Cucamonga, CA 91730-2778
Phone: (909) 904-5152
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1407748866
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gabrielle Gonzalez — Ceo · (909) 904-5152
NPI enumeratedJuly 18, 2025
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025
Mailing address7252 Archibald Ave # 1005, Rancho Cucamonga, CA 91701-5017

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