Provider Demographics
NPI:1740805787
Name:WELL-BEINGS GROUP
Entity Type:Organization
Organization Name:WELL-BEINGS GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:
Authorized Official - First Name:CHANTEE
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-408-4551
Mailing Address - Street 1:9029 AIRPORT BLVD UNIT 91241
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90009-5065
Mailing Address - Country:US
Mailing Address - Phone:800-408-4551
Mailing Address - Fax:
Practice Address - Street 1:314 E HILLCREST BLVD STE 5
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-2435
Practice Address - Country:US
Practice Address - Phone:800-408-4551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty