Provider Demographics
NPI:1134011976
Name:CONTRA COSTA MENTAL HEALTH WELLNESS CENTER
Entity type:Organization
Organization Name:CONTRA COSTA MENTAL HEALTH WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:BIEDA
Authorized Official - Suffix:JR
Authorized Official - Credentials:MFT
Authorized Official - Phone:415-254-8203
Mailing Address - Street 1:1220 DIAMOND WAY STE 240
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-5260
Mailing Address - Country:US
Mailing Address - Phone:415-254-8203
Mailing Address - Fax:415-376-5899
Practice Address - Street 1:1220 DIAMOND WAY STE 240
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-5260
Practice Address - Country:US
Practice Address - Phone:415-254-8203
Practice Address - Fax:415-376-5899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty