MEDICARE: PRIDE ROCK WELLNESS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor
3	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1548102221
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIDE ROCK WELLNESS INC.

Provider Business Mailing Address
First Line	:	254 N LAKE AVE # 154
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-1829
Country	:	US
Telephone Number	:	626-529-3725
Fax Number	:

Provider Business Practice Location Address
First Line	:	140 N EL MOLINA AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101
Country	:	US
Telephone Number	:	626-529-3725
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ERIC WARREN JR.
Credential	:
Telephone Number	:	323-599-6248

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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Directions to “PRIDE ROCK WELLNESS INC. ” Practice Location

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