Native Soul Wellness
Clinic/Center, Mental Health (Including Community Mental Health Center) in Loma Linda, CA. Organization (NPI-2).
NPI number1346047792
StatusActive
Last updated in NPPESMar 16, 2025
Details
- NPI
- 1346047792
- Entity type
- Organization (NPI-2)
- Legal business name
- Native Soul Wellness
- Organization subpart
- No
- Enumeration date
- Feb 25, 2025
- Certification date
- Mar 16, 2025
- Last updated
- Mar 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Native Soul Wellness Center LLC (Other Name)
- Native Soul Wellness (Other Name)
Practice location
25581 Barton RdLoma Linda, CA 92354-3125
Phone 909-498-0208
Mailing address
25745 Barton Rd # 502Loma Linda, CA 92354-3812
Phone 909-498-0208
Authorized official
Antoinette M Schrader
Owner And Clinical Director
2138845291
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