Organization · NPI-2
4 Winds Cultural Counseling & Wellness Center, Licensed Clinical Social Worker, INC.
Social Worker, Clinical · Riverside, CA
NPI number1346855749
StatusActive
Last updated in NPPESMay 20, 2025
Details
- NPI
- 1346855749
- Entity type
- Organization (NPI-2)
- Legal business name
- 4 Winds Cultural Counseling & Wellness Center, Licensed Clinical Social Worker, INC.
- Organization subpart
- No
- Enumeration date
- Sep 11, 2020
- Certification date
- May 20, 2025
- Last updated
- May 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
3742 Tibbetts St Ste 201Riverside, CA 92506-2641
Phone 951-458-6932
Mailing address
12536 Penske StMoreno Valley, CA 92553-5207
Phone 951-965-0619
Authorized official
Luis Carlos Lamadrid
Owner/Founder
9519650619
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