OrganizationActive
Custom Life Solutions Inc.
NPI 1194413575 · Adolescent and Children Mental Health Clinic/Center · Long Beach, CA
Provider details
- NPI number
- 1194413575
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Walker, Owner/ Licensed Therapist(562) 454-1028
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3605 Long Beach Blvd Ste 321
Long Beach, CA 90807-4025
Phone: (562) 454-1028
Street-level locationGet directions
Mailing address
3605 Long Beach Blvd Ste 321
Long Beach, CA 90807-4025
Other names (DBA / former)
- Doing business as
- Custom Life Solutions
Registry dates
- Enumerated
- 2023-04-25
- Last updated
- 2023-04-25
- Certified
- 2023-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.