| Optimum Wellness Group Inc | |
|
9980 Mill St Lower Lake CA 95457 | |
| (707) 802-8145 | |
| Not Available |
| Full Name | Optimum Wellness Group Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9980 Mill St, Lower Lake, California |
| Authorized Official Name and Position | Amber Warner (CEO) |
| Authorized Official Contact | 7078028144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Wellness Group Inc 14500 Olympic Dr Unit 2432 Clearlake CA 95422-7826 Ph: (707) 802-8144 | Optimum Wellness Group Inc 9980 Mill St Lower Lake CA 95457 Ph: (707) 802-8145 |
| NPI Number | 1912653643 |
|---|---|
| Provider Enumeration Date | 02/22/2022 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912653643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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