Organization · NPI-2

Anastasia Rivera Mental Wellness Services

Clinic/Center, Mental Health (Including Community Mental Health Center) · Bakersfield, CA

NPI number1558098079
StatusActive
Last updated in NPPESNov 15, 2023

Details

NPI
1558098079
Entity type
Organization (NPI-2)
Legal business name
Anastasia Rivera Mental Wellness Services
Organization subpart
No
Enumeration date
Aug 4, 2022
Certification date
Nov 15, 2023
Last updated
Nov 15, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
261QM0850X Clinic/Center, Adult Mental Health––

Practice location

3727 Collingwood Dr
Bakersfield, CA 93311-8757

Phone 661-808-3513

Mailing address

3727 Collingwood Dr
Bakersfield, CA 93311-8757

Phone 661-808-3513

Authorized official

Anastasia Rivera
Licensed Clinical Social Worker
6618083513

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