Healthcare Provider Details

I. General information

NPI: 1427914449
Provider Name (Legal Business Name): INWELL THERAPY, LICENSED CLINICAL SOCIAL WORKER, A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2026
Last Update Date: 01/03/2026
Certification Date: 01/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 N LAKE AVE STE 710
PASADENA CA
91101-4185
US

IV. Provider business mailing address

35 N LAKE AVE STE 710
PASADENA CA
91101-4185
US

V. Phone/Fax

Practice location:
  • Phone: 213-260-1198
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ELLEN GENG HAN
Title or Position: OWNER
Credential: LCSW
Phone: 213-260-1198