Organization
INNOVATIVE WELLNESS CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAKEYA FIELDS (EXECUTIVE DIRECTOR)
(323) 924-9084
Entity
Organization
Contact information
Practice address
1955 W JEFFERSON BLVD, LOS ANGELES, CA 90018-3413
(213) 394-5889
Mailing address
236 W MOUNTAIN ST STE 103, PASADENA, CA 91103-2968
(213) 394-5889
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LF0000X
Family Nurse Practitioner
—
—
374J00000X
Doula
—
—
Other
Enumeration date
04/29/2024
Last updated
05/07/2024
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