Healthcare Provider Details

I. General information

NPI: 1316881915
Provider Name (Legal Business Name): AVELA HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20500 BELSHAW AVE
CARSON CA
90746-3506
US

IV. Provider business mailing address

20500 BELSHAW AVE
CARSON CA
90746-3506
US

V. Phone/Fax

Practice location:
  • Phone: 320-249-7337
  • Fax:
Mailing address:
  • Phone: 320-249-7337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MOLLY MENTON
Title or Position: VP OPERATIONS
Credential:
Phone: 320-249-7337