| NPI | 1053068783 |
|---|---|
| Doing Business As | INNOVATIVE WELLNESS CONSULTING |
| Entity Type | Organization |
| Authorized Contact | NAKEYA TONISHA FIELDS CEO 323-872-7634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-12-29 |