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PACIFIC WELLNESS GROUP A PROFESSIONAL MARRIAGE & FAMILY THERAPY CORP
NPI 1477137933
Clinic/Center - Mental Health (Including Community Mental Health Center) in Santa Monica, CA

Active since May 11, 2021
2716 OCEAN PARK BLVD STE 3075, SANTA MONICA, CA 90405(424) 436-1872(424) 416-7478 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 10, 2022, May 11, 2021 (2 updates tracked since 2021).

About Pacific Wellness Group A Professional Marriage & Family Therapy Corp NPPES

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

PACIFIC WELLNESS GROUP A PROFESSIONAL MARRIAGE & FAMILY THERAPY CORP (NPI 1477137933), doing business as Pacific Wellness Group, is a healthcare organization registered as a mental health (including community mental health center) in Santa Monica, California and active in the NPI registry since May 2021. The organization lists Tracy Bevington, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477137933
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePACIFIC WELLNESS GROUP A PROFESSIONAL MARRIAGE & FAMILY THERAPY CORP
Location Address2716 OCEAN PARK BLVD STE 3075Santa Monica, CA 90405-5232
Mailing Address2716 Ocean Park Blvd Ste 3075Santa Monica, CA 90405-5232 · (424) 436-1872 · Fax (424) 416-7478
Phone(424) 436-1872
Fax(424) 416-7478
Organization SubpartNo
Authorized OfficialTracy BevingtonCeo · (424) 436-1872
Enumeration DateMay 11, 2021
Last NPPES UpdateFebruary 10, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
✔ NPI 1477137933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2716 OCEAN PARK BLVD STE 3075, Santa Monica, CA 90405
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Other Names 2

Doing Business AsPacific Wellness Group
Doing Business AsTellahealth Ca

Other Providers at the Same Location NPPES 20

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

SUMMER ANNE MYERS MA
Marriage & Family Therapist
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Los Angeles County (310) 612-2998
OWEN GRAHAM
Marriage & Family Therapist
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Los Angeles County (424) 341-2606
KATHRYN HEYMANN MA
Counselor (Mental Health)
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Los Angeles County (310) 612-2998
OOTIFY
Clinic/Center (Mental Health (Including Community Mental Health Center))
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Los Angeles County (424) 581-7276
LAUREN ELIZABETH CROMER MA AMFT APCC
Marriage & Family Therapist
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Los Angeles County (310) 612-2998
NICOLE LEANN BRAVO B.S, MFT TRAINEE
Marriage & Family Therapist
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Los Angeles County (310) 612-2998
DARCY A MANAV MA LMFT
Marriage & Family Therapist
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Los Angeles County (310) 612-2998
AMIT ROZEN
Marriage & Family Therapist
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Los Angeles County (310) 612-2998

Frequently Asked Questions

What is PACIFIC WELLNESS GROUP A PROFESSIONAL MARRIAGE & FAMILY THERAPY CORP's NPI number?

The NPI number assigned to this healthcare provider is 1477137933, enumerated as an "organization" on May 11, 2021.

Where is the provider located?

The provider is located at 2716 OCEAN PARK BLVD STE 3075 SANTA MONICA, CA 90405 and the phone number is (424) 436-1872.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).