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1629933858 NPI number — ALETHIA MIND AND WELLNESS

NPI Number: 1629933858
Health Care Provider/Practitioner: ALETHIA MIND AND WELLNESS

Information about “1629933858” NPI (ALETHIA MIND AND WELLNESS) exists in 1629933858 in HTML format HTML  |  1629933858 in plain Text format TXT  |  1629933858 in PDF (Portable Document Format) PDF  |  1629933858 in an XML format XML  formats.

NPI Number : 1629933858 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629933858",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ALETHIA MIND AND WELLNESS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2102 BUSINESS CENTER DR STE 2001",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "IRVINE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92612-1001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-242-0277",
    "MailingAddressFaxNumber": "478-780-6088",
    "FirstLinePracticeLocationAddress": "200 LAS PALMAS DRIVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "IRVINE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92602",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-242-0277",
    "PracticeLocationAddressFaxNumber": "478-780-6088",
    "EnumerationDate": "12/19/2025",
    "LastUpdateDate": "12/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HAILE",
    "AuthorizedOfficialFirstName": "ALULA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PMHNP-BC",
    "AuthorizedOfficialTelephoneNumber": "949-242-0277",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0850X",
        "TaxonomyName": "Adult Mental Health Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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