WISDOM WELLNESS PSYCHOTHERAPY INC NPI 1831715473

NPI Information

  • NPI: 1831715473
  • Provider Name: WISDOM WELLNESS PSYCHOTHERAPY INC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 340 S. LEMON AVE #4028
    WALNUT, CA
    ZIP 91789
  • Phone: (916) 546-5228

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NPI Details

WISDOM WELLNESS PSYCHOTHERAPY INC is a mental health (including community mental health center) clinic center in Walnut, CA. WISDOM WELLNESS PSYCHOTHERAPY INC NPI is 1831715473. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

340 S. LEMON AVE #4028
WALNUT, CA
ZIP 91789
Phone: (916) 546-5228

The provider's authorized official is Chassity Angeny-showalter .
The authorized official title is Owner/ceo and has the following contact phone number (916) 546-5228.

The enumeration date for this NPI number is 6/19/2020 and was last updated on 9/9/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalNo
2133V00000XDietitian, RegisteredNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 11/21/2025

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