# BLACK WELLNESS & PROSPERITY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BLACK Wellness & Prosperity Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619591179
- **Authorized official:** SHANTAY RENEE DAVIES-BALCH (PRESIDENT & CEO)
- **Authorized official phone:** (559) 790-1905

## Contact information

- **Practice address:** 2201 CALAVERAS ST, FRESNO, CA 93721-1103
- **Practice address phone:** (559) 478-5912
- **Mailing address:** 2201 CALAVERAS ST, FRESNO, CA 93721-1103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 374J00000X | Doula | — | NULL | Yes |
| 374J00000X | Doula | — | — | Yes |

## Other

- **Enumeration date:** 06/01/2020
- **Last updated:** 02/26/2025