Wholistic Family Therapy & Wellness Center, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

WHOLISTIC FAMILY THERAPY & WELLNESS CENTER, INC.

Practice address

11780 Central Ave Ste 115
Chino, CA 91710-8626

Phone

(909) 364-1104

NPI assigned

Sep 3, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie A. Carson, LMFTNPI 1588676282

Title

Ceo

Phone

(909) 364-1104

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie A. Carson, LMFT

  • Marriage & Family Therapist
  • Chino, CA
  • NPI 1588676282
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1053089987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11780 CENTRAL AVE STE 115",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917108626",
            "telephone_number": "909-364-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11780 CENTRAL AVE STE 115",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917108626",
            "telephone_number": "909-364-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC FAMILY THERAPY & WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-364-1104",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Covina Foster Family Agency
• Lindsay West
• Western Dental Services, Inc.
• Nancy A White, LMFT
• Skyler Whiting
• Peter None Wilhovsky Jr.
• Derrick D Williams
• Clarence Elwood Wilson Jr., PH.D.
• Wings of Courage Family Services Counseling & Presentations, Inc.
• James Sytuan Winn, D.O.

• Adult Mental Health Clinic/Center in Chino, CA
• Providers in Chino, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.