Organization
MINDSCAPE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL OCCHIOGROSSO LMHC (DIRECTOR)
(954) 829-3307
Entity
Organization
Contact information
Practice address
3309 56TH ST STE 101, GIG HARBOR, WA 98335-8580
(360) 360-0334
(360) 443-2365
Mailing address
7348 BALTRAY PL SW, PORT ORCHARD, WA 98367-7691
(561) 756-6906
(360) 443-2365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
MH8662
FL
Other
Enumeration date
10/19/2009
Last updated
01/18/2024
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