# MIND OVER MATTER INDIVIDUAL AND FAMILY THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215653845
- **Authorized official:** MITCHELL POHL (PRESIDENT/CEO)
- **Authorized official phone:** (949) 414-4147

## Contact information

- **Practice address:** 12792 VALLEY VIEW ST STE 206, GARDEN GROVE, CA 92845-2510
- **Practice address phone:** (949) 414-4147
- **Mailing address:** 12792 VALLEY VIEW ST STE 206, GARDEN GROVE, CA 92845-2510
- **Mailing address phone:** (949) 414-4147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP1600X | Pastoral Counselor | — | NULL | — |
| 101YP1600X | Pastoral Counselor | — | — | — |
| 101YS0200X | School Counselor | — | NULL | — |
| 101YS0200X | School Counselor | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2022
- **Last updated:** 10/14/2022