Healthcare Provider Details

I. General information

NPI: 1497699961
Provider Name (Legal Business Name): BEST STRONG SELF
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 SAN NICHOLAS CT
LAGUNA BEACH CA
92651-4439
US

IV. Provider business mailing address

306 SAN NICHOLAS CT
LAGUNA BEACH CA
92651-4439
US

V. Phone/Fax

Practice location:
  • Phone: 323-628-1028
  • Fax:
Mailing address:
  • Phone: 323-628-1028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. JESSICA ABUCHAIBE
Title or Position: CEO
Credential: LMFT
Phone: 310-890-4211