Healthcare Provider Details

I. General information

NPI: 1619813755
Provider Name (Legal Business Name): THE SEEN SPACE MENTAL WELLNESS, A PROFESSIONAL NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3711 LONG BEACH BLVD STE 4057
LONG BEACH CA
90807-3320
US

IV. Provider business mailing address

3711 LONG BEACH BLVD STE 4057
LONG BEACH CA
90807-3320
US

V. Phone/Fax

Practice location:
  • Phone: 562-380-0950
  • Fax: 562-380-0970
Mailing address:
  • Phone: 562-380-0950
  • Fax: 562-380-0970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. JOANNE F FERRER
Title or Position: OWNER/CEO
Credential: PMHNP-BC
Phone: 562-380-0950