Healthcare Provider Details

I. General information

NPI: 1346166576
Provider Name (Legal Business Name): WELLNESS INSPIRED, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16152 BEACH BLVD STE 107
HUNTINGTON BEACH CA
92647-3858
US

IV. Provider business mailing address

364 SEVILLE WAY
LONG BEACH CA
90814-3225
US

V. Phone/Fax

Practice location:
  • Phone: 657-660-3566
  • Fax:
Mailing address:
  • Phone: 657-660-3566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JANAE COX
Title or Position: CEO
Credential: NP
Phone: 657-660-3566