Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MIRANDA COUNSELING & CONSULTING LICENSED CLINICAL SOCIAL WORKER, INC.
Active
Organization
MIRANDA COUNSELING & CONSULTING LICENSED CLINICAL SOCIAL WORKER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYOLA MIRANDA LCSW (LICENSED CLINICAL SOCIAL WORKER/CEO)
(760) 509-2360
Entity
Organization
Contact information
Practice address
2204 S EL CAMINO REAL STE 305, OCEANSIDE, CA 92054-6376
(760) 509-2360
Mailing address
PO BOX 8685, ANAHEIM, CA 92812-0685
(760) 509-2360
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CB344989
—
CA
Enumeration date
02/02/2023
Last updated
06/29/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up