Eubank on Wellness LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

EUBANK ON WELLNESS LLC

Practice address

100 West 64TH St
Inglewood, CA 90302

Phone

(310) 896-3946

NPI assigned

Aug 20, 2021

Last updated

Aug 23, 2021By 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

Asamau Ojarigi, PSY.D.

Title

Clinical Director

Phone

(763) 742-4440

Specialties & licenses 3

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.

• Brittany Lynita Eubanks, LCSW

  • Clinical Social Worker
  • Inglewood, CA
  • NPI 1083179444

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1952077786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N VAN NESS AVE",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "90221",
            "telephone_number": "310-896-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST 64TH ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "90302",
            "telephone_number": "310-896-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUBANK ON WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "OJARIGI",
        "authorized_official_first_name": "ASAMAU",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "763-742-4440",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essence Medical Supply Inc
• Esteemed Home Care, LLC
• Cornelia Sharon Estell, NP
• Kisha Dionne Estis, DOCTOR OF NURSING PR
• Matthew E Etuk
• Brittany Lynita Eubanks, LCSW
• Eucharia Okeke (Esteem Medical Supply)
• Eunice Counseling Services
• Lillian Evans
• Felicia Renee Everett Hatter, LVN

• Counselor in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.