Living Hope Wellness Group, INC
Nurse Practitioner, Psych/Mental Health in Beaumont, CA. Organization (NPI-2).
NPI number1003479643
StatusActive
Last updated in NPPESApr 18, 2019
Details
- NPI
- 1003479643
- Entity type
- Organization (NPI-2)
- Legal business name
- Living Hope Wellness Group, INC
- Organization subpart
- No
- Enumeration date
- Apr 18, 2019
- Last updated
- Apr 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 101YP1600X | Counselor, Pastoral | – | – | |
| 103T00000X | Psychologist | – | – | |
| 104100000X | Social Worker | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – | |
| 133N00000X | Nutritionist | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 174H00000X | Health Educator | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 246RP1900X | Technician, Pathology, Phlebotomy | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 376K00000X | Nurse's Aide | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
514 N California Ave Ste 18Beaumont, CA 92223-2120
Phone 909-219-4142 · Fax 909-222-6918
Mailing address
514 N California Ave Ste 18Beaumont, CA 92223-2120
Phone 909-219-4142
Authorized official
Chrystanya Ashle Adeniji
Dnp, Pmhnp-Bc
9168444214
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