Healthcare Provider Details

I. General information

NPI: 1750971180
Provider Name (Legal Business Name): LIVE WELL FAMILY COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2021
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41593 WINCHESTER RD STE 215
TEMECULA CA
92590-4841
US

IV. Provider business mailing address

41593 WINCHESTER RD STE 215
TEMECULA CA
92590-4841
US

V. Phone/Fax

Practice location:
  • Phone: 951-257-8045
  • Fax: 951-602-7730
Mailing address:
  • Phone: 760-415-8515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: ERIKA CAMEZ
Title or Position: OWNER
Credential:
Phone: 760-415-8515