| NPI | 1992557375 |
|---|---|
| Former Legal Business Name | BECERRA WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BECERRA Owner, Director Of Counseling Lpc S 318-200-0573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TF0000X Psychologist, Family | |
| 174H00000X Health Educator | |
| 225C00000X Rehabilitation Counselor | |
| 225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner | |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |