# VALLEY INTEGRATIVE PSYCHIATRIC HEALTH & WELLNESS, NURSING CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VIP HEALTH & WELLNESS
- **Other names:** VIP Health & Wellness
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467114009
- **Legal business name:** VIP HEALTH & WELLNESS
- **Authorized official:** DR. ANISE WHEELER NURSE PRACTITIONER (CEO/ PMHNP)
- **Authorized official phone:** (209) 662-0754

## Contact information

- **Practice address:** 1822 W KETTLEMAN LN STE 1, LODI, CA 95242-4218
- **Practice address phone:** (209) 689-0103
- **Practice address fax:** (209) 689-0131
- **Mailing address:** 4322 RIVERBANK CT, STOCKTON, CA 95219-2538
- **Mailing address phone:** (209) 662-0754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2021
- **Last updated:** 10/12/2021