Misty Mountains Counseling
LBN: George Calasa Licensed Professional Clinical Counselor Inc
Misty Mountains Counseling is an health care organization with primary practice located at 16321 Askin Dr # 6688 , Pine Mountain Club CA 93222-9900. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
George Calasa Licensed Professional Clinical Counselor Inc can be contacted via phone (805) 850-3057, or through Calasa, George via phone (805) 850-3057.
Contact Information
Primary practice address
16321 Askin Dr # 6688
Pine Mountain Club CA 93222-9900
Phone: (805) 850-3057
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1922634377 |
|---|---|
| LBN Legal business name | George Calasa Licensed Professional Clinical Counselor Inc |
| DBA Doing business as | Misty Mountains Counseling |
| Authorized official | Calasa, George MA, LPCC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 18th, 2020 |
| Last updated | Nov 30th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922634377 | NPPES |
| California | MEDICAID | 1922634377 | |
| California | Other | 1013369875 |
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