Organization
BRAVEMIND WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTEN F WIGGINS LCSW (CEO)
(805) 284-7344
Entity
Organization
Contact information
Practice address
520A PINEY WAY, MORRO BAY, CA 93442-2354
(805) 284-7344
Mailing address
520A PINEY WAY, MORRO BAY, CA 93442-2354
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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