Human Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HUMAN WELLNESS LLC

Practice address

580 Broadway St Ste 301
Laguna Beach, CA 92651-4328

Phone

(949) 342-6011

NPI assigned

Mar 4, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Courtney M Tracy, LCSW, PSYDNPI 1932532496

Title

Founder

Phone

(949) 342-6011

Specialties & licenses 3

Addresses

Practitioners 1

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

• Courtney Tracy, LCSW, PSYD

  • Clinical Social Worker
  • Laguna Beach, CA
  • NPI 1932532496
  NPD Authorized official

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1861259004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30025 ALICIA PKWY # 635",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772090",
            "telephone_number": "949-342-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 BROADWAY ST STE 301",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926514328",
            "telephone_number": "949-342-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "949-342-6011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, PSYD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• I2Ioptometry.Com,Inc.

• Clinical Social Worker in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.