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Organization
SUSTAINABLE SELF INC
Active
Organization
SUSTAINABLE SELF INC
Active
Other names
Quantum Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATELYN LEHMAN PH.D. (CEO)
(909) 571-3178
Entity
Organization
Contact information
Practice address
2828 NEWELL ST STE 6, LOS ANGELES, CA 90039-3899
(650) 279-5857
Mailing address
2828 NEWELL ST STE 6, LOS ANGELES, CA 90039-3899
(650) 279-5857
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
01/18/2023
Last updated
02/04/2026
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