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Organization

BOLD MIND THERAPY A LICENSED PROFESSIONAL CLINICAL COUNSELOR CO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA ROMERO LPCC, LPC (PSYCHOTHERAPIST, OWNER)
(650) 316-0328
Entity
Organization

Contact information

Practice address
809 CUESTA DR # B3320, MOUNTAIN VIEW, CA 94040-3667
(650) 316-0328
Mailing address
809 CUESTA DR # B3320, MOUNTAIN VIEW, CA 94040-3667
(650) 316-0328

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103TH0100X
Health Service Psychologist
1041C0700X
Clinical Social Worker

Other

Enumeration date
02/21/2026
Last updated
02/21/2026
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