MONO COUNTY BEHAVIORAL HEALTH NPI 1730433863

NPI Information

  • NPI: 1730433863
  • Provider Name: MONO COUNTY BEHAVIORAL HEALTH
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • Address: 452 OLD MAMMOTH RD SUITE 304
    MAMMOTH LAKES, CA
    ZIP 93546
  • Phone: (760) 924-1740

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NPI Details

MONO COUNTY BEHAVIORAL HEALTH is a counselor in Mammoth Lakes, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MONO COUNTY BEHAVIORAL HEALTH NPI is 1730433863. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

452 OLD MAMMOTH RD SUITE 304
MAMMOTH LAKES, CA
ZIP 93546-619
Phone: (760) 924-1740

The provider's authorized official is Robin Roberts .
The authorized official title is Behavioral Health Director and has the following contact phone number (760) 924-1740.

The enumeration date for this NPI number is 10/26/2012 and was last updated on 11/16/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12601MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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