Provider Demographics
NPI:1942198072
Name:AJC INNOVATIVE CONSULTING FOR WELLNESS INC
Entity type:Organization
Organization Name:AJC INNOVATIVE CONSULTING FOR WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:JEANETH
Authorized Official - Last Name:CASTELLANOS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:562-480-3001
Mailing Address - Street 1:13001 SEAL BEACH BLVD STE 360
Mailing Address - Street 2:
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-2747
Mailing Address - Country:US
Mailing Address - Phone:562-480-3001
Mailing Address - Fax:
Practice Address - Street 1:13001 SEAL BEACH BLVD STE 360
Practice Address - Street 2:
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740-2747
Practice Address - Country:US
Practice Address - Phone:562-480-3001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty