Healthcare Provider Details

I. General information

NPI: 1699625699
Provider Name (Legal Business Name): THE WELLNESS EXCHANGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 N GLENDORA AVE STE 200
GLENDORA CA
91741-6925
US

IV. Provider business mailing address

216 N GLENDORA AVE STE 200
GLENDORA CA
91741-6925
US

V. Phone/Fax

Practice location:
  • Phone: 909-921-9160
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MALLORY GARCIA
Title or Position: CLINICAL DIRECTOR
Credential: LMFT
Phone: 909-921-9160