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THE LIFE CHARM INC NPI 1295405140


NPI Information

NPI: 1295405140
Provider Name: THE LIFE CHARM INC

Doing Business As: SOLUNA WELLNESS

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1419 UNIVERSITY AVE
SAN DIEGO, CA
ZIP 92103
Phone: (619) 876-4015
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THE LIFE CHARM INC is an adult mental health clinic center in San Diego, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. THE LIFE CHARM INC NPI is 1295405140. The provider is registered as an organization entity type.
The provider Is Doing Business As Soluna Wellness.

The provider's business location address is:

1419 UNIVERSITY AVE
SAN DIEGO, CA
ZIP 92103-459
Phone: (619) 876-4015
Fax: (619) 883-9360

The provider's authorized official is Tyler Penrod .
The authorized official title is Biller and has the following contact phone number (305) 900-4715.

The enumeration date for this NPI number is 9/13/2021 and was last updated on 3/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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