Healthcare Provider Details

I. General information

NPI: 1407492713
Provider Name (Legal Business Name): THE ART OF GUIDING HEALERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2019
Last Update Date: 08/31/2021
Certification Date: 06/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 MACARTHUR BLVD EAST TOWER #600
NEWPORT BEACH CA
92660
US

IV. Provider business mailing address

4000 MACARTHUR BLVD., EAST TOWER, 6TH FLOOR
NEWPORT BEACH CA
92660-2543
US

V. Phone/Fax

Practice location:
  • Phone: 949-799-8001
  • Fax:
Mailing address:
  • Phone: 949-799-8001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 8
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. HELENEMICKEY WILSON
Title or Position: PRESIDENT
Credential: PH.D., LMFT
Phone: 714-743-5612