Wounded Healers Lifestyle and Wellness Coaching

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

WOUNDED HEALERS LIFESTYLE AND WELLNESS COACHING

Practice address

1823 W Westwind St
Colton, CA 92324-6203

Phone

(951) 255-7382

NPI assigned

Mar 10, 2023

Organization subpart

No

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

Authorized official

Name

Vickie Davis, LMFTNPI 1881000917

Title

Ceo

Phone

(951) 255-7382

Specialties & licenses 1

Addresses

Practitioners 1

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

• Vickie Davis

  • Marriage & Family Therapist
  • San Bernardino, CA
  • NPI 1881000917
  NPD Authorized official

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1811698459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 W WESTWIND ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923246203",
            "telephone_number": "951-255-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 W WESTWIND ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923246203",
            "telephone_number": "951-255-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUNDED HEALERS LIFESTYLE AND WELLNESS COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-255-7382",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon John-Starr Woodward, M.D.
• Robyn Janine Hampton Woodward, NP
• Matthew Wayne Woolverton
• Christine Wortley, FNP
• Wound Management Institute, Apmc
• Justin David Wren
• Josette E Wright
• Mariana Wright
• Sarah M Wright
• Tesha Lori Wright, B.A.

• Marriage & Family Therapist in Colton, CA
• Providers in Colton, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.