Whalio Doctors

NPI 1023738739

Cr8tive Mindz

Organisation Community/Behavioral Health Agency Long Beach, CA

Practice location

Address
1777 N Bellflower Blvd STE 105, Long Beach, CA 90815-4019
Phone
(323) 402-1803
Mailing address
556 W 3rd St, San Pedro, CA 90731-2506

Authorised official

Name
Kandice Gray
Title
Ceo/Co-Founder, LCSW
Phone
(310) 654-7485

Registered specialties (4)

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X
Voluntary or Charitable Agency
Agencies Taxonomy 251V00000X
Mental Health Clinic/Center (Including Community Mental Health Center)
Ambulatory Health Care Facilities Taxonomy 261QM0801X
Adolescent and Children Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0855X

Registry record

NPI
1023738739
Entity type
Organization
NPI issued
1 Sep 2022
Record last updated
1 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.