| Innovative Wellness Consulting | |
|
236 W Mountain St Ste 103 Pasadena CA 91103-2968 | |
| (323) 872-7634 | |
| Not Available |
| Full Name | Innovative Wellness Consulting |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 236 W Mountain St Ste 103, Pasadena, California |
| Authorized Official Name and Position | Nakeya Tonisha Fields (CEO) |
| Authorized Official Contact | 3238727634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Wellness Consulting 3651 S La Brea Ave # 229 Los Angeles CA 90016-5311 Ph: () - | Innovative Wellness Consulting 236 W Mountain St Ste 103 Pasadena CA 91103-2968 Ph: (323) 872-7634 |
| NPI Number | 1053068783 |
|---|---|
| Provider Enumeration Date | 03/02/2022 |
| Last Update Date | 12/29/2022 |
| Certification Date | 12/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053068783 | NPI | - | NPPES |
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