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SOCAL ADOLESCENT WELLNESS, INC.
NPI 1083230262
Clinic/Center - Adolescent and Children Mental Health in Lake Forest, CA

Active since June 23, 2020
23072 LAKE CENTER DR STE 214, LAKE FOREST, CA 92630(949) 467-4324 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Socal Adolescent Wellness, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOCAL ADOLESCENT WELLNESS, INC. (NPI 1083230262) is a healthcare organization registered as an adolescent and children mental health in Lake Forest, California and active in the NPI registry since June 2020. The organization lists Rebecca M Harris, Cfo, as its authorized official.

NPPES Registry Identity

NPI1083230262
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameSOCAL ADOLESCENT WELLNESS, INC.
Location Address23072 LAKE CENTER DR STE 214Lake Forest, CA 92630-2899
Mailing Address16052 Beach Blvd Ste 135Huntington Beach, CA 92647-3817 · (949) 467-4324
Phone(949) 467-4324
Organization SubpartNo
Authorized OfficialRebecca M HarrisCfo · (949) 467-4324
Enumeration DateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1083230262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
23072 LAKE CENTER DR STE 214, Lake Forest, CA 92630
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZOE BEHAVIORAL HEALTH INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
23072 LAKE CENTER DR STE 214
LAKE FOREST, CA 92630
Orange County (949) 309-2227

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Socal Adolescent Wellness, Inc.'s NPI number?

The NPI number for Socal Adolescent Wellness, Inc. is 1083230262. It was assigned to this organization in the NPPES registry on June 23, 2020.

Where is Socal Adolescent Wellness, Inc. located?

Socal Adolescent Wellness, Inc. is located at 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630. The listed phone number is (949) 467-4324.

What is Socal Adolescent Wellness, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Socal Adolescent Wellness, Inc. was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.