IWILL TIL IMWELL LLC NPI 1871217042

NPI Information

  • NPI: 1871217042
  • Provider Name: IWILL TIL IMWELL LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 1252 CLAYBURN LN
    SAN JOSE, CA
    ZIP 95121
  • Phone: (504) 874-5809

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NPI Details

IWILL TIL IMWELL LLC is a mental health (including community mental health center) clinic center in San Jose, CA. IWILL TIL IMWELL LLC NPI is 1871217042. The provider is registered as an organization entity type.

The provider's business location address is:

1252 CLAYBURN LN
SAN JOSE, CA
ZIP 95121-610
Phone: (504) 874-5809

The provider's authorized official is Jillandra Rovaris .
The authorized official title is Ceo and has the following contact phone number (504) 874-5809.

The enumeration date for this NPI number is 9/30/2022 and was last updated on 10/25/2022.

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
1261QM0801XClinic/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: 3/30/2025

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