Organization
LIVING HOPE WELLNESS GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRYSTANYA ASHLE ADENIJI DNP (DNP, PMHNP-BC)
(916) 844-4214
Entity
Organization
Contact information
Practice address
514 N CALIFORNIA AVE STE 18, BEAUMONT, CA 92223-2120
(909) 219-4142
(909) 222-6918
Mailing address
514 N CALIFORNIA AVE STE 18, BEAUMONT, CA 92223-2120
(909) 219-4142
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
133N00000X
Nutritionist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
—
2084P0800X
Psychiatry Physician
—
—
246RP1900X
Phlebotomy Technician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
376K00000X
Nurse's Aide
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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