Healthcare Provider Details

I. General information

NPI: 1629933858
Provider Name (Legal Business Name): ALETHIA MIND AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 LAS PALMAS DRIVE
IRVINE CA
92602
US

IV. Provider business mailing address

2102 BUSINESS CENTER DR STE 2001
IRVINE CA
92612-1001
US

V. Phone/Fax

Practice location:
  • Phone: 949-242-0277
  • Fax: 478-780-6088
Mailing address:
  • Phone: 949-242-0277
  • Fax: 478-780-6088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALULA HAILE
Title or Position: CEO
Credential: PMHNP-BC
Phone: 949-242-0277