# WISEMIND INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wisemind Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689309437
- **Authorized official:** DESTINY S RATTANAPICHETKUL LMFT (CEO, CFO)
- **Authorized official phone:** (626) 552-5994

## Contact information

- **Practice address:** 705 VALLEY VIEW AVE, MONROVIA, CA 91016-2446
- **Practice address phone:** (626) 344-8036
- **Practice address fax:** (626) 316-6761
- **Mailing address:** 705 VALLEY VIEW AVE, MONROVIA, CA 91016-2446
- **Mailing address phone:** (626) 344-8036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2022
- **Last updated:** 07/17/2022