Custom Life Solutions Inc.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

CUSTOM LIFE SOLUTIONS INC.

Practice address

3605 Long Beach Blvd Ste 321
Long Beach, CA 90807-4025

Phone

(562) 454-1028

NPI assigned

Apr 25, 2023

Organization subpart

No

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

Authorized official

Name

Charles Walker, LCSW

Title

Owner/ Licensed Therapist

Phone

(562) 454-1028

Specialties & licenses 2

Addresses

Other names 1

• Custom Life Solutions Doing business as

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1194413575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 LONG BEACH BLVD STE 321",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074025",
            "telephone_number": "562-454-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 LONG BEACH BLVD STE 321",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074025",
            "telephone_number": "562-454-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM LIFE SOLUTIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/ LICENSED THERAPIST",
        "authorized_official_telephone_number": "562-454-1028",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custom Life Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Curtis Meyer ABA Consulting LLC
• Ernest N. Curtis, MD
• Kanna Lynn Curtis
• Roda Vannessa Custodio, PHARM.D.
• Custom Anesthesia and Nursing Services, Inc
• Aron Cutler
• Emily J Cutler, RD
• Maggie Cutler
• Camille Cuttaia, RN
• Leonard Peter Cutuli, DDS

• Adolescent and Children Mental Health Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.