Healthcare Provider Details
I. General information
NPI: 1497660161
Provider Name (Legal Business Name): WELL PARENT & FAMILY THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/17/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
210 S ORANGE GROVE BLVD
PASADENA CA
91105-1705
US
IV. Provider business mailing address
210 S ORANGE GROVE BLVD
PASADENA CA
91105-1705
US
V. Phone/Fax
- Phone: 213-497-6333
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANA
VELOUISE
Title or Position: FOUNDER, LEAD PSYCHOTHERAPIST
Credential: LMFT, PMH-C
Phone: 213-497-6333