Healthcare Provider Details

I. General information

NPI: 1881562791
Provider Name (Legal Business Name): ESSENCE INTEGRATIVE AND PSYCHIATRIC HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24885 WHITEWOOD RD STE 100
MURRIETA CA
92563-2004
US

IV. Provider business mailing address

24885 WHITEWOOD RD STE 100
MURRIETA CA
92563-2004
US

V. Phone/Fax

Practice location:
  • Phone: 442-207-7823
  • Fax: 951-223-5092
Mailing address:
  • Phone: 442-207-7823
  • Fax: 951-223-5092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KENDRA ALYSSA AVANT-ORTIZ
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: PMHNP-C, FNP-BC
Phone: 407-449-6793