| Counseling & Wellness Center | |
|
39760 Black Mesa Ln Palm Desert CA 92260-1501 | |
| (760) 832-4904 | |
| Not Available |
| Full Name | Counseling & Wellness Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 39760 Black Mesa Ln, Palm Desert, California |
| Authorized Official Name and Position | Kelly A Ellis (OWNER) |
| Authorized Official Contact | 7608324904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling & Wellness Center Po Box 2805 Rancho Mirage CA 92270-1099 Ph: (760) 832-4904 | Counseling & Wellness Center 39760 Black Mesa Ln Palm Desert CA 92260-1501 Ph: (760) 832-4904 |
| NPI Number | 1053793216 |
|---|---|
| Provider Enumeration Date | 06/24/2015 |
| Last Update Date | 08/01/2023 |
| Certification Date | 08/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053793216 | NPI | - | NPPES |
| ZZZ28136Z | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 16686 (California) | Primary |
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