Provider Demographics
NPI:1447097753
Name:YEN WELLNESS FAMILY COUNSELING PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:YEN WELLNESS FAMILY COUNSELING PROFESSIONAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YENI
Authorized Official - Middle Name:
Authorized Official - Last Name:HERCULES
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:323-517-8687
Mailing Address - Street 1:16117 CLARK AVE
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-4527
Mailing Address - Country:US
Mailing Address - Phone:562-334-2023
Mailing Address - Fax:
Practice Address - Street 1:16117 CLARK AVE
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-4527
Practice Address - Country:US
Practice Address - Phone:562-334-2023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty