| Mindscape Counseling | |
|
3309 56th St Ste 101 Gig Harbor WA 98335-8580 | |
| (360) 360-0334 | |
| (360) 443-2365 |
| Full Name | Mindscape Counseling |
|---|---|
| Speciality | Counselor |
| Location | 3309 56th St Ste 101, Gig Harbor, Washington |
| Authorized Official Name and Position | Manuel Occhiogrosso (DIRECTOR) |
| Authorized Official Contact | 9548293307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindscape Counseling 7348 Baltray Pl Sw Port Orchard WA 98367-7691 Ph: (561) 756-6906 | Mindscape Counseling 3309 56th St Ste 101 Gig Harbor WA 98335-8580 Ph: (360) 360-0334 |
| NPI Number | 1699001149 |
|---|---|
| Provider Enumeration Date | 10/19/2009 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/11/2024 |
| Medicare PECOS PAC ID | 9638517360 |
|---|---|
| Medicare Enrollment ID | O20240401001932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699001149 | NPI | - | NPPES |
| Provider Name | Manuel Occhiogrosso |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972778686 PECOS PAC ID: 6901247063 Enrollment ID: I20240509000188 |
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