Provider Demographics
NPI:1487452819
Name:GENTLE HOUSE WELLNESS
Entity type:Organization
Organization Name:GENTLE HOUSE WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:LINETTE
Authorized Official - Last Name:PEASE
Authorized Official - Suffix:
Authorized Official - Credentials:MS LMFT
Authorized Official - Phone:714-606-7472
Mailing Address - Street 1:PO BOX 8627
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92822-5627
Mailing Address - Country:US
Mailing Address - Phone:714-606-7472
Mailing Address - Fax:
Practice Address - Street 1:1370 BREA BLVD STE 234
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-4148
Practice Address - Country:US
Practice Address - Phone:714-606-7472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty