NPI Code Details Logo

NPI 1780521567

NPI 1780521567 : WEL-MOR PSYCHOLOGY GROUP, INC : HUNTINGTON BEACH, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1780521567
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    WEL-MOR PSYCHOLOGY GROUP, INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/30/2026
-----------------------------------------------------
    Last Update Date     |    04/30/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    17822 BEACH BLVD STE 278 
-----------------------------------------------------
    City                 |    HUNTINGTON BEACH
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92647-7180
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    714-540-9070
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4019 WESTERLY PL STE 102 
-----------------------------------------------------
    City                 |    NEWPORT BEACH
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92660-2333
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    714-540-9070
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DIRECTOR
-----------------------------------------------------
    Name                 |     DAVID  WELCH 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    714-540-9070
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    324500000X
-----------------------------------------------------
    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.