Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Community Wellness Group

Organization Mental Health Counselor · NPI 1861347817

Community Wellness Group is a Mental Health Counselor in Inglewood, California. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4

Practice location Address checks out

11311 Hawthorne Blvd Unit 1
Inglewood, CA 90304-2775
Phone: (818) 858-6031
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X
Community Health Worker Taxonomy 172V00000X
Case Management Agency Taxonomy 251B00000X

Record details

NPI number1861347817
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Nibo — President · (818) 858-6031
NPI enumeratedMarch 3, 2026
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address6709 La Tijera Blvd Unit 1025, Los Angeles, CA 90045-2017

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