| Prospera Mhw Inc. | |
|
3249 Marlene Dr Lafayette CA 94549-4723 | |
| (415) 407-0988 | |
| Not Available |
| Full Name | Prospera Mhw Inc. |
|---|---|
| Speciality | Health & Wellness Coach |
| Location | 3249 Marlene Dr, Lafayette, California |
| Authorized Official Name and Position | Andrea Nicole Niles (CEO) |
| Authorized Official Contact | 4154070988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prospera Mhw Inc. 2120 Contra Costa Blvd # 1155 Pleasant Hill CA 94523-3742 Ph: (415) 407-0988 | Prospera Mhw Inc. 3249 Marlene Dr Lafayette CA 94549-4723 Ph: (415) 407-0988 |
| NPI Number | 1346073814 |
|---|---|
| Provider Enumeration Date | 08/21/2024 |
| Last Update Date | 08/21/2024 |
| Certification Date | 08/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346073814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Secondary |
| 103TC0700X | Psychologist - Clinical | () | Secondary |
| 171400000X | Health & Wellness Coach | () | Primary |
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