Organization
BECOMING WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMANDO AMEZCUA (PRESIDENT/CEO)
(714) 473-4409
Entity
Organization
Contact information
Practice address
206 W 4TH ST STE 416, SANTA ANA, CA 92701-4677
(714) 406-3598
Mailing address
2802 N PRESTON ST, ORANGE, CA 92867-2257
(714) 476-8828
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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