Wings Of The Future Consulting Private Practice
LBN: Wings Of The Future Private Practice Licensed Clinical Worker Pc
Wings Of The Future Consulting Private Practice is an health care organization with primary practice located at 1050 Lakes Dr Ste 225 , West Covina CA 91790-2910. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Wings Of The Future Private Practice Licensed Clinical Worker Pc can be contacted via phone (661) 402-1545, or through Boothe, Krystal Marie via phone (661) 402-1545.
Contact Information
Primary practice address
1050 Lakes Dr Ste 225
West Covina CA 91790-2910
Phone: (661) 402-1545
Fax: (661) 727-0006
Website:
Authorized official contact:
Name: Boothe, Krystal Marie Licensed Clinical Social Worker (LCSW)
Phone: (661) 402-1545
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1649944430 |
|---|---|
| LBN Legal business name | Wings Of The Future Private Practice Licensed Clinical Worker Pc |
| DBA Doing business as | Wings Of The Future Consulting Private Practice |
| Authorized official | Boothe, Krystal Marie Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 4th, 2021 |
| Last updated | Oct 26th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649944430 | NPPES |
| California | Other | 83-2422898 | IRS |
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