Provider Demographics
NPI:1881562791
Name:ESSENCE INTEGRATIVE AND PSYCHIATRIC HEALTH SERVICES
Entity type:Organization
Organization Name:ESSENCE INTEGRATIVE AND PSYCHIATRIC HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:ALYSSA
Authorized Official - Last Name:AVANT-ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-C, FNP-BC
Authorized Official - Phone:407-449-6793
Mailing Address - Street 1:24885 WHITEWOOD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-2004
Mailing Address - Country:US
Mailing Address - Phone:442-207-7823
Mailing Address - Fax:951-223-5092
Practice Address - Street 1:24885 WHITEWOOD RD STE 100
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-2004
Practice Address - Country:US
Practice Address - Phone:442-207-7823
Practice Address - Fax:951-223-5092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-23
Last Update Date:2025-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty