| Misty Mountains Counseling | |
|
16321 Askin Dr # 6688 Pine Mountain Club CA 93222-9900 | |
| (805) 850-3057 | |
| Not Available |
| Full Name | Misty Mountains Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 16321 Askin Dr # 6688, Pine Mountain Club, California |
| Authorized Official Name and Position | George Calasa (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 8058503057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Misty Mountains Counseling 154 El Monte Ave Ventura CA 93004-1754 Ph: (805) 850-3057 | Misty Mountains Counseling 16321 Askin Dr # 6688 Pine Mountain Club CA 93222-9900 Ph: (805) 850-3057 |
| NPI Number | 1922634377 |
|---|---|
| Provider Enumeration Date | 03/18/2020 |
| Last Update Date | 11/30/2023 |
| Certification Date | 11/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922634377 | NPI | - | NPPES |
| 1922634377 | Medicaid | CA | |
| 1013369875 | Other | CA | GEORGE CALASA, LPCC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
Dr. Elizabeth Wise Licensed Clinical Social Worker Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Cedarwood Dr., Pine Mountain Club, CA 93222 Phone: 310-422-2047 | |
Memoryco, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2248 Saint Bernard Drive, Pine Mountain Club, CA 93222 Phone: 323-486-3626 |