Healthcare Provider Details

I. General information

NPI: 1841032976
Provider Name (Legal Business Name): TUSHKA OHOYO AADAMS-DAVIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2024
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 CABRILLO CIR
VISTA CA
92084-4435
US

IV. Provider business mailing address

325 HILLSIDE CT
VISTA CA
92084-5120
US

V. Phone/Fax

Practice location:
  • Phone: 760-536-3201
  • Fax:
Mailing address:
  • Phone: 760-532-0954
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANA YSABEL DAVIES
Title or Position: FOUNDER & CEO
Credential: PH.D., CADC III, CCS
Phone: 760-532-0954