# WISHWELL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WishWell Counseling & Empowerment Center, Wishwell LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972285369
- **Authorized official:** MRS. VERENICE HERNANDEZ-HERRERA M.ED, PPS, (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (619) 890-1602

## Contact information

- **Practice address:** 2060 OTAY LAKES RD STE 240, CHULA VISTA, CA 91913-1364
- **Practice address phone:** (619) 890-1602
- **Mailing address:** 2060 OTAY LAKES RD STE 240, CHULA VISTA, CA 91913-1364
- **Mailing address phone:** (619) 890-1602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2023
- **Last updated:** 08/04/2023