Path T0 Mindful Balanced Mental Wellness, Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

PATH T0 MINDFUL BALANCED MENTAL WELLNESS, INC

Practice address

10315 Woodley Ave Ste 123
Granada Hills, CA 91344-6953

Phone

(818) 488-1105

NPI assigned

Jul 11, 2025

Last updated

Jul 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Graciela Gonzalez, LCSWNPI 1316139611

Title

Behavioral Health Therapist

Phone

(818) 426-2612

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Graciela Gonzalez, LCSW

  • Clinical Social Worker
  • Pacoima, CA
  • NPI 1316139611
  NPD Authorized official

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1720979214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 DONEVA RD",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212910",
            "telephone_number": "818-426-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10315 WOODLEY AVE STE 123",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446953",
            "telephone_number": "818-488-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH T0 MINDFUL BALANCED MENTAL WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "GRACIELA",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "818-426-2612",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dong Keun Park, D.D.S
• Jin Park, DDS
• Richard Park, M.D.
• Farbod Parvinjah, D.M.D
• Neeraj M Patel, M.D.
• Path2 Recovery Center LLC
• Berdin Pattana
• Cristiana Paul, MS
• Taylor Pavloff, MS, CNS, LDN
• PD Hospice, Inc.

• Adult Mental Health Clinic/Center in Granada Hills, CA
• Providers in Granada Hills, 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 Jul 11, 2025; 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.