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General NPI Number Information
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NPI Number | 1881562791
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Entity Type | Organization
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Legal Business Name | ESSENCE INTEGRATIVE AND PSYCHIATRIC HEALTH SERVICES
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 24885 WHITEWOOD RD STE 100
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City | MURRIETA
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State | CA
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Zip | 92563-2004
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Country | US
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Telephone | 442-207-7823
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Fax | 951-223-5092
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Provider Business Mailing Address
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Address Line | 24885 WHITEWOOD RD STE 100
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City | MURRIETA
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State | CA
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Zip | 92563-2004
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Country | US
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Telephone | 442-207-7823
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Fax | 951-223-5092
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | KENDRA ALYSSA AVANT-ORTIZ
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Credential | PMHNP-C, FNP-BC
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Telephone | 407-449-6793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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