Provider Demographics
NPI:1760173215
Name:OPTIMAL WELLNESS COUNSELING
Entity Type:Organization
Organization Name:OPTIMAL WELLNESS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNING
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:909-780-9115
Mailing Address - Street 1:8333 FOOTHILL BLVD STE 129
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-3190
Mailing Address - Country:US
Mailing Address - Phone:909-780-9115
Mailing Address - Fax:909-484-1473
Practice Address - Street 1:8333 FOOTHILL BLVD STE 129
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3190
Practice Address - Country:US
Practice Address - Phone:909-780-9115
Practice Address - Fax:909-484-1473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty