Provider Demographics
NPI:1225789852
Name:WHO AM I, INC.
Entity Type:Organization
Organization Name:WHO AM I, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSIE
Authorized Official - Middle Name:ANITA
Authorized Official - Last Name:GUILLEN
Authorized Official - Suffix:
Authorized Official - Credentials:AMFT
Authorized Official - Phone:951-204-4769
Mailing Address - Street 1:4053 CHESTNUT ST FL 2
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501-3536
Mailing Address - Country:US
Mailing Address - Phone:951-204-4769
Mailing Address - Fax:951-742-7449
Practice Address - Street 1:4053 CHESTNUT ST FL 2
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-3536
Practice Address - Country:US
Practice Address - Phone:951-742-7448
Practice Address - Fax:951-742-7449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty