West Coast Healthy Living Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WEST COAST HEALTHY LIVING CENTER

Practice address

2158 Pacific Ave
Long Beach, CA 90806-4514

Phone

(951) 567-6051

NPI assigned

Dec 18, 2013

Organization subpart

No

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

Authorized official

Name

Kuawanna Thompson

Title

Administration

Phone

(951) 567-6051

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1760803746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908064514",
            "telephone_number": "951-567-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908064514",
            "telephone_number": "951-567-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST HEALTHY LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KUAWANNA",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "951-567-6051"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.