Healthcare Provider Details
I. General information
NPI: 1619705480
Provider Name (Legal Business Name): FIND FLOW WELLNESS - LICENSED CLINICAL SOCIAL WORKER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/23/2024
Last Update Date: 07/23/2024
Certification Date: 07/23/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11835 W OLYMPIC BLVD STE 815E
LOS ANGELES CA
90064-5056
US
IV. Provider business mailing address
3400 COTTAGE WAY STE G225289
SACRAMENTO CA
95825-1474
US
V. Phone/Fax
- Phone: 917-524-9029
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CATHERINE
ROSSI
Title or Position: CEO, CFO, SECRETARY
Credential: LCSW
Phone: 917-524-9029