Healthcare Provider Details

I. General information

NPI: 1669388856
Provider Name (Legal Business Name): LIVING CONNECTED MBS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14901 ADELFA DR UNIT 1675
LA MIRADA CA
90638-4749
US

IV. Provider business mailing address

14901 ADELFA DR UNIT 1675
LA MIRADA CA
90638-4749
US

V. Phone/Fax

Practice location:
  • Phone: 626-360-0828
  • Fax:
Mailing address:
  • Phone: 626-360-0828
  • Fax:

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: DR. TINA HOUSTON-ARMSTRONG
Title or Position: CEO
Credential: PHD
Phone: 626-260-4199