# TEHACHAPI WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518381821
- **Authorized official:** RENA SHUMWAY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (661) 822-8979

## Contact information

- **Practice address:** 21030 MISSION ST, SUITE A, TEHACHAPI, CA 93561-6769
- **Practice address phone:** (661) 822-8979
- **Practice address fax:** (661) 822-5729
- **Mailing address:** 21030 MISSION ST, SUITE A, TEHACHAPI, CA 93561-6769
- **Mailing address phone:** (661) 822-8979
- **Mailing address fax:** (661) 822-5729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2014
- **Last updated:** 02/06/2014
