| Wynning Foundation, Inc. | |
|
5150 E Pacific Coast Hwy Ste 200 Long Beach CA 90804-3399 | |
| (313) 212-7774 | |
| Not Available |
| Full Name | Wynning Foundation, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5150 E Pacific Coast Hwy Ste 200, Long Beach, California |
| Authorized Official Name and Position | Wynn Anthony Sarden (FOUNDER/PRESIDENT) |
| Authorized Official Contact | 3132127774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wynning Foundation, Inc. 34830 Fontana Dr Sterling Heights MI 48312-5732 Ph: (313) 212-7774 | Wynning Foundation, Inc. 5150 E Pacific Coast Hwy Ste 200 Long Beach CA 90804-3399 Ph: (313) 212-7774 |
| NPI Number | 1235904384 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 11/20/2023 |
| Certification Date | 11/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235904384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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