| Wholesome Place Llc | |
|
18814 Clearbrook St Porter Ranch CA 91326-2127 | |
| (818) 916-8573 | |
| Not Available |
| Full Name | Wholesome Place Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 18814 Clearbrook St, Porter Ranch, California |
| Authorized Official Name and Position | Ani Asulyan (OWNER) |
| Authorized Official Contact | 8189168573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholesome Place Llc 18814 Clearbrook St Porter Ranch CA 91326-2127 Ph: (818) 916-8573 | Wholesome Place Llc 18814 Clearbrook St Porter Ranch CA 91326-2127 Ph: (818) 916-8573 |
| NPI Number | 1114882735 |
|---|---|
| Provider Enumeration Date | 12/16/2025 |
| Last Update Date | 12/16/2025 |
| Certification Date | 12/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114882735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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