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Organization
HUMAN WELLNESS LLC
Active
Organization
HUMAN WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY M TRACY LCSW, PSYD (FOUNDER)
(949) 342-6011
Entity
Organization
Contact information
Practice address
580 BROADWAY ST STE 301, LAGUNA BEACH, CA 92651-4328
(949) 342-6011
Mailing address
30025 ALICIA PKWY # 635, LAGUNA NIGUEL, CA 92677-2090
(949) 342-6011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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